Individual
MINDALYN GREEN ENLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
S.L.P.
Contact information
Practice address
8TH AVE C ST, SALT LAKE CITY, UT 84143-0001
(801) 408-5412
Mailing address
8TH AVE C ST, SALT LAKE CITY, UT 84143-0001
(801) 408-5412
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
291305-4102
UT
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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