Individual
HALIE SHAE EREKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
525 E 4500 S STE F200, SALT LAKE CITY, UT 84107-2996
(801) 771-0273
Mailing address
525 E 4500 S STE F200, SALT LAKE CITY, UT 84107-2996
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
UT
Other
Enumeration date
06/21/2021
Last updated
06/21/2021
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