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Individual

SHILOE GENTRY MECHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCMHC

Contact information

Practice address
10808 S RIVER FRONT PKWY STE 308, SOUTH JORDAN, UT 84095-5761
(801) 984-6728
Mailing address
10808 S RIVER FRONT PKWY STE 308, SOUTH JORDAN, UT 84095-5761
(801) 984-6728

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12180411-6004
UT

Other

Enumeration date
08/19/2019
Last updated
10/17/2024
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