Individual
LUISA MERCEDES SHUMWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
515 S 700 E STE 2A, SALT LAKE CITY, UT 84102-2855
(800) 434-8923
Mailing address
11397 S OSWEGO LN, SOUTH JORDAN, UT 84009-4819
(801) 548-3357
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11595082-2506
UT
Other
Enumeration date
09/22/2017
Last updated
01/02/2020
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