Individual
CAROLINE M CIET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5100 S DAISY LN, MURRAY, UT 84123-4519
(801) 608-3547
Mailing address
515 S 700 E, SUITE 2A, SALT LAKE CITY, UT 84102-2142
(801) 935-4946
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
223033713
—
UT
Enumeration date
03/02/2021
Last updated
03/02/2021
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