Individual
LI PING SU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1027 W 1033 N, S108, OREM, UT 84057
(801) 623-8385
Mailing address
1027 W 1033 N, #S108, OREM, UT 84057
(801) 623-8385
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
9111108-3904
UT
Other
Enumeration date
06/07/2016
Last updated
06/07/2016
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