Individual
FELICIA MARIE FISHBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
741 E 9000 S, SANDY, UT 84094-3085
(801) 375-4240
Mailing address
741 E 9000 S, SANDY, UT 84094-3085
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/01/2015
Last updated
07/01/2015
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