Individual
PENNY RAWLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9263 S REDWOOD RD BLDG 8, WEST JORDAN, UT 84088-6571
(801) 566-0749
(801) 566-7108
Mailing address
9263 S REDWOOD RD BLDG 8, WEST JORDAN, UT 84088-6571
(801) 566-0749
(801) 566-7108
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
10148069-6009
UT
Other
Enumeration date
10/26/2018
Last updated
10/26/2018
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