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Individual

MRS. MARY ELIZABETH HORNSBY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCMHC

Contact information

Practice address
2319 S FOOTHILL DR STE 180, SALT LAKE CITY, UT 84109-5403
(801) 824-0616
(888) 972-6493
Mailing address
4905 SOUTH 3200 WEST, TAYLORSVILLE, UT 84129
(801) 824-0616
(309) 671-0503

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
180006277
IL
101YM0800X
Mental Health Counselor
Primary
101YP1600X
Pastoral Counselor
IL

Other

Enumeration date
02/05/2008
Last updated
07/21/2022
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