Individual
TAMMIE LUE DUSOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ASUDC
Contact information
Practice address
8465 S 700 E, SANDY, UT 84070-0501
(801) 233-8577
(801) 233-8748
Mailing address
8465 S 700 E, SANDY, UT 84070-0501
(801) 233-8577
(801) 233-8748
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
346406-6008
UT
Other
Enumeration date
08/06/2013
Last updated
08/06/2013
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