Individual
MAREN EBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
45 E STATE ST, FARMINGTON, UT 84025-2344
(801) 402-5261
Mailing address
1264 W 2275 S, SYRACUSE, UT 84075-8636
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
416587
UT
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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