Individual
RAY J DEPRIZIO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
2872 HIGHLAND DR, SALT LAKE CITY, UT 84106-3147
(801) 485-8051
Mailing address
4174 SHANNA ST, SALT LAKE CITY, UT 84124-3036
(801) 424-9733
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1392773501
UT
Other
Enumeration date
03/21/2006
Last updated
07/08/2007
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