Individual
MS. ALEXANDRA DAWN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
607 E 200 S, SALT LAKE CITY, UT 84102-2110
(801) 322-4257
Mailing address
1860 MOJAVE DR, SALT LAKE CITY, UT 84116-1419
(801) 725-4121
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
10/03/2011
Last updated
10/03/2011
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