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Individual

TELESHA LEE FRICKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, CCC-SLP

Contact information

Practice address
500 E 1400 N, LOGAN, UT 84341
(435) 716-1000
Mailing address
244 S 1250 E, SMITHFIELD, UT 84335-6810
(435) 757-1425

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
UT

Other

Enumeration date
09/25/2020
Last updated
09/25/2020
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