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Individual

SHANE A WHITING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D., LMFT

Contact information

Practice address
3725 S BIG HOLLOW RD, HEBER CITY, UT 84032-3978
(435) 709-7050
(801) 904-0077
Mailing address
63 E 11400 S, #186, SANDY, UT 84070-6705
(435) 709-7050
(801) 904-0077

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
5691843-3902
UT

Other

Enumeration date
12/14/2011
Last updated
11/03/2014
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