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Individual

MICHELLE CARLSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, CCC-SLP

Contact information

Practice address
37 W EASTWOOD PL, FARMINGTON, UT 84025-2180
(801) 792-5052
Mailing address
37 W EASTWOOD PL, FARMINGTON, UT 84025-2180
(801) 792-5052

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7795275-4102
UT

Other

Enumeration date
08/04/2022
Last updated
08/04/2022
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