Individual
MIDORI RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5121 S COTTONWOOD ST, MURRAY, UT 84107-5701
(801) 507-1247
Mailing address
5121 S COTTONWOOD ST, MURRAY, UT 84107-5701
(801) 507-1247
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9101737-4102
UT
235Z00000X
Speech-Language Pathologist
9101737-4104
UT
Other
Enumeration date
03/11/2015
Last updated
04/23/2015
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