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Individual

ELLIE KATE ELGGREN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
12637 S 265 W STE 300, DRAPER, UT 84020-5403
(801) 998-8428
Mailing address
9858 S ALTA RIDGE CIR, SANDY, UT 84092-6068

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
01/19/2026
Last updated
01/19/2026
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