Individual
MRS. MARY LOUISE VALANTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2121
Mailing address
1719 REDONDO AVE, SALT LAKE CITY, UT 84108-3115
(801) 647-4170
(801) 485-0092
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
112855-4102
UT
Other
Enumeration date
11/18/2010
Last updated
11/18/2010
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