Individual
NICOLE DEMKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
515 S 700 E STE 2A, SLC, UT 84102-2855
(800) 434-8923
Mailing address
515 S 700 E # SUITED2A, SLC, UT 84102-2801
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
103TC0700X
UT
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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