Individual
MR. DEE MILTON MARBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SUDC
Contact information
Practice address
845 WEST 200 NORTH, KAYSVILLE, UT 84037
(801) 593-6777
(801) 544-0200
Mailing address
PO BOX 699, KAYSVILLE, UT 84037
(801) 593-6777
(801) 544-0200
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2784686-6005
UT
Other
Enumeration date
12/06/2012
Last updated
12/06/2012
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