Individual
MICHELLE BURRUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1344 W STATE RD, PLEASANT GROVE, UT 84062-5022
(801) 785-8870
Mailing address
1344 W STATE RD, PLEASANT GROVE, UT 84062-5022
(801) 785-8870
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/19/2010
Last updated
05/19/2010
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