Individual
MR. THOMAS EDMONDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
857 E 200 S, SALT LAKE CITY, UT 84102-2317
(801) 487-3276
Mailing address
1117 E 6720 S, APT. 13, COTTONWOOD HEIGHTS, UT 84121-2798
(435) 817-1707
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7333308-3503
UT
Other
Enumeration date
06/14/2016
Last updated
06/14/2016
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