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Individual

NICOLE MARIE VARANAKIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, CCC-SLP

Contact information

Practice address
670 E 3900 S STE 201, SALT LAKE CITY, UT 84107-1973
(801) 266-3979
(801) 270-8587
Mailing address
670 E 3900 S STE 210, SALT LAKE CITY, UT 84107-1981
(801) 266-3979
(801) 270-8587

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary

Other

Enumeration date
09/06/2023
Last updated
09/06/2023
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