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Individual

MARY PAGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
99 S 2625 E, LAYTON, UT 84040-7489
(801) 885-4991
Mailing address
99 S 2625 E, LAYTON, UT 84040-7489
(801) 885-4991

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12950260-4102
UT
235Z00000X
Speech-Language Pathologist
UT

Other

Enumeration date
07/20/2022
Last updated
04/17/2023
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