Individual
EDITH ELIZABETH SALISBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1215 N 380 E, PLEASANT GROVE, UT 84062-3902
(801) 520-9795
Mailing address
1215 N 380 E, PLEASANT GROVE, UT 84062-3902
(801) 520-9795
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
12/29/2021
Last updated
12/29/2021
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