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Individual

SHELLEY NAKASONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, CCC-SLP

Contact information

Practice address
100 N MEDICAL DR, SLC, UT 84113-1103
(801) 588-2000
Mailing address
100 N MEDICAL DR, SLC, UT 84113-1103
(801) 387-6603

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
377487-4102
UT

Other

Enumeration date
08/01/2006
Last updated
12/20/2010
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