Individual
MRS. CHRISTIE LEE COLVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18 N 200 E, TREMONTON, UT 84337-1442
(435) 257-2168
Mailing address
18 N 200 E, TREMONTON, UT 84337-1442
(435) 257-2168
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
271521-3503
UT
Other
Enumeration date
12/02/2010
Last updated
12/02/2010
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