Individual
MICHAEL BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CM
Contact information
Practice address
5965 S 900 E, SALT LAKE CITY, UT 84121-1720
(801) 288-8487
(801) 288-8499
Mailing address
5965 S 900 E, SALT LAKE CITY, UT 84121-1720
(801) 288-8487
(801) 288-8499
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/03/2011
Last updated
03/03/2011
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