Individual
MISS CLAIRE PEMBERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
327 E 1300 S, APT 2, SALT LAKE CITY, UT 84102
(925) 389-4679
Mailing address
327 E 1300 S, APT 2, SALT LAKE CITY, UT 84102
(925) 389-4679
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
UT
Other
Enumeration date
07/19/2019
Last updated
07/19/2019
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