Individual
MICHELLE COLES WEBSTER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
SP
Contact information
Practice address
44 N MEDICAL DR, SLC, UT 84113-1105
(801) 584-8290
Mailing address
3020 GRACE ST, SLC, UT 84109-2128
(801) 484-8708
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
112424-4102
UT
Other
Enumeration date
05/04/2006
Last updated
07/08/2007
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