Individual
BONI LEE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
445 NORTH CARBONVILLE ROAD, PRICE, UT 84501
(435) 650-6447
(801) 538-4016
Mailing address
445 N CARBONVILLE RD, PRICE, UT 84501-3902
(435) 630-5086
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
294216-3502
UT
Other
Enumeration date
01/02/2019
Last updated
12/02/2019
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