Individual
HEATHERLEE BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
411 GRANT ST, SLC, UT 84116-2725
(801) 359-8862
Mailing address
411 GRANT ST, SLC, UT 84116-2725
(801) 359-8862
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/16/2012
Last updated
06/16/2012
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