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Individual

EMILY BOMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
409 W 400 S, SLC, UT 84101-1135
(801) 364-0058
Mailing address
271 E COATSVILLE AVE, SALT LAKE CITY, UT 84115-1926
(801) 347-4140

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
13561661-3502
UT

Other

Enumeration date
09/11/2023
Last updated
09/11/2023
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