Individual
CARSON EWING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
780 S GUARDSMAN WAY, SALT LAKE CITY, UT 84108-1374
(801) 581-0194
Mailing address
3725 W 4100 S STE 201, WEST VALLEY CITY, UT 84120-5427
(888) 949-4864
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
UT
Other
Enumeration date
08/09/2023
Last updated
05/29/2024
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