Individual
CAMILLE HALLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
592 W 200 S UNIT 608, SALT LAKE CITY, UT 84101-1228
(208) 747-6535
Mailing address
592 W 200 S UNIT 608, SALT LAKE CITY, UT 84101-1228
(208) 747-6535
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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