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Individual

CARMEN BEATRIZ KILLPACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
237 26TH ST, OGDEN, UT 84401-3105
(801) 625-3700
Mailing address
237 26TH ST, OGDEN, UT 84401-3105
(801) 625-3700

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
100921
TX
101YM0800X
Mental Health Counselor
Primary
10248380-6004
UT
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
09/13/2017
Last updated
04/20/2026
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