Individual
ALICIA CORADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPSS
Contact information
Practice address
3269 S MAIN ST STE 100, SOUTH SALT LAKE, UT 84115-3773
(801) 935-4447
Mailing address
3269 S MAIN ST STE 100, SOUTH SALT LAKE, UT 84115-3773
(801) 935-4447
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
1859
UT
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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