Individual
MRS. GINA MARIE CLERICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
1805 LONE OAK DR, DRAPER, UT 84020-5520
(801) 495-1245
(801) 495-1245
Mailing address
1805 LONE OAK DR, DRAPER, UT 84020-5520
(801) 495-1245
(801) 495-1245
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6407819-4102
UT
Other
Enumeration date
02/12/2008
Last updated
02/12/2008
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