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Individual

MARY EVE SANFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
1151 E 3900 S, #B150, SALT LAKE CITY, UT 84124-1216
(801) 262-3441
(801) 269-9005
Mailing address
1151 E 3900 S, #B150, SALT LAKE CITY, UT 84124-1216
(801) 262-3441
(801) 269-9005

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1116982501
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
D1760
UT
Enumeration date
04/21/2006
Last updated
07/08/2007
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