Organization
SUSAN IMHOFF BIRD
Active
Other names
Centered Earth Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN IMHOFF BIRD LCSW (OWNER)
(801) 541-5205
Entity
Organization
Contact information
Practice address
4505 S WASATCH BLVD STE 320, SALT LAKE CITY, UT 84124-4755
(801) 541-5205
(801) 541-5205
Mailing address
2185 E 1700 S, SALT LAKE CITY, UT 84108-2716
(801) 541-5205
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
288938-3501
UT
Other
Enumeration date
09/20/2017
Last updated
09/20/2017
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