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Individual

ALEXIS DANIELS PLAYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6910 S HIGHLAND DR, COTTONWOOD HEIGHTS, UT 84121-3060
(801) 308-9113
Mailing address
6910 S HIGHLAND DR, COTTONWOOD HEIGHTS, UT 84121-3060

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
11/12/2019
Last updated
11/12/2019
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