Individual
MS. REBECCA CLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
500 FOOTHILL BLVD, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Mailing address
99 COLONIAL AVE, #6, EVANSTON, WY 82930-3079
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
23676
WY
Other
Enumeration date
04/05/2007
Last updated
07/08/2007
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