Individual
TONYA ALICE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCM
Contact information
Practice address
5818 S 900 E, MURRAY, UT 84121-1644
(801) 738-7616
Mailing address
251 S CORNELL STREET, N-213, SLC, UT 84116
(801) 688-2511
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/17/2022
Last updated
03/17/2022
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