Individual
COLTON BLAIR WALDRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
826 N 100 E STE 1A, SPANISH FORK, UT 84660-1241
(801) 515-2282
Mailing address
3103 E CANYON CREST DR, SPANISH FORK, UT 84660-8938
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
10373567-3902
UT
Other
Enumeration date
06/02/2016
Last updated
06/14/2024
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