Individual
DEBRA JO DAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, SSW
Contact information
Practice address
2323 W 2220 N, CLINTON, UT 84015-5706
(801) 663-8011
Mailing address
2323 W 2220 N, CLINTON, UT 84015-5706
(801) 663-8011
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
7015107-3503
UT
225700000X
Massage Therapist
Primary
7015107-4701
UT
Other
Enumeration date
01/19/2017
Last updated
05/09/2025
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