Individual
MR. COREY STEPHEN GUNSOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
344 E 100 S STE 301, SALT LAKE CITY, UT 84111-1727
(801) 322-4257
Mailing address
344 E 100 S STE 301, SALT LAKE CITY, UT 84111-1727
(801) 322-4257
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
81728133502
UT
Other
Enumeration date
10/25/2015
Last updated
10/25/2015
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