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Individual

EDWARD HENRY SNODDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
L.S.A.C.

Contact information

Practice address
415 W 400 S, SALT LAKE CITY, UT 84101-1135
(801) 718-6342
(801) 519-6710
Mailing address
415 W 400 S, SALT LAKE CITY, UT 84101
(801) 718-6342
(801) 519-6710

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
359409-6006
UT

Other

Enumeration date
12/07/2010
Last updated
12/07/2010
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