Individual
JACQUELINE DAILEY VALLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP-CCC
Contact information
Practice address
1546 E SUNNYSIDE AVE, SALT LAKE CITY, UT 84105-1633
(801) 583-6187
Mailing address
1546 E SUNNYSIDE AVE, SALT LAKE CITY, UT 84105-1633
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10869040-4102
UT
Other
Enumeration date
04/07/2020
Last updated
04/07/2020
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