Individual
MRS. SHIRLEY ANN SUTTON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CPCI
Contact information
Practice address
1578 W 1700 S, #200, SLC, UT 84104-3470
(801) 972-2711
(801) 972-2709
Mailing address
1487 W 6020 S, SLC, UT 84123-5388
(801) 972-2711
(801) 972-2709
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
138811-6009
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
788007788049
—
UT
Enumeration date
04/17/2006
Last updated
07/08/2007
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