Individual
CIARA CARLISLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
501 W 2600 S, BOUNTIFUL, UT 84010-7784
(801) 440-9658
(801) 683-8062
Mailing address
836 N 1375 W, PROVO, UT 84604-3049
(801) 375-2523
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/07/2016
Last updated
04/07/2016
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