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Individual

MS. CARLY BROOKE SNOW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, AMFT, 1000-ERYT

Contact information

Practice address
4624 S HOLLADAY BLVD, HOLLADAY, UT 84117-7054
(801) 558-5950
Mailing address
4624 S HOLLADAY BLVD, HOLLADAY, UT 84117-7054
(609) 313-1411

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
10836864-3904
UT

Other

Enumeration date
07/31/2018
Last updated
07/31/2018
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