Individual
CAMILLE DELONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S. M.S. LMFT
Contact information
Practice address
275 E SOUTH TEMPLE, SUITE 101, SALT LAKE CITY, UT 84111-1247
(180) 153-1738
Mailing address
812 SANDHURST DR, SALT LAKE CITY, UT 84103-2284
(180) 131-7904
(180) 136-4368
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1142433902
UT
Other
Enumeration date
08/05/2012
Last updated
08/05/2012
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