Individual
MRS. DEBRA ELLIS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
94 E PAGES LN, #A, CENTERVILLE, UT 84014-2216
(801) 294-0578
Mailing address
1324 S 175 E, KAYSVILLE, UT 84037-3702
(801) 544-9556
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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