Individual
MRS. ELANE DE VOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
835 E 4800 S STE 220, MURRAY, UT 84107-5533
(801) 262-5418
Mailing address
2028 E GRAYSTONE LN, DRAPER, UT 84020-9120
(801) 448-1955
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9623253-6010
UT
Other
Enumeration date
10/12/2017
Last updated
10/12/2017
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