Individual
GEORGIA FARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
515 S 700 E, SALT LAKE CITY, UT 84102-2801
(800) 434-8923
Mailing address
13597 S 2700 W, RIVERTON, UT 84065-5895
(801) 809-8382
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/13/2019
Last updated
08/13/2019
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