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Individual

DIANA JEAN ROBERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1850 S 2500 E, SALT LAKE CITY, UT 84108-3242
(801) 263-6450
Mailing address
4460 S HIGHLAND DR, SALT LAKE CITY, UT 84124-3543
(888) 949-4864

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
104100000X
Social Worker
Primary
108950072-3503
UT

Other

Enumeration date
06/12/2018
Last updated
03/11/2019
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