Individual
GILLAN MACLEAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
774 S 1600 W, MAPLETON, UT 84664-4345
(434) 470-1020
Mailing address
774 S 1600 W, MAPLETON, UT 84664-4345
(434) 470-1020
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
293981-2501
UT
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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