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Individual

RODRIC SETH THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
344 E 100 S, SALT LAKE CITY, UT 84111-1700
(801) 322-4257
Mailing address
11611 EUREKA WAY, SOUTH JORDAN, UT 84095-7916
(801) 548-5556

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
12/27/2011
Last updated
12/27/2011
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