Individual
RANDALL ANN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
160 S 600 E, #300, SALT LAKE CITY, UT 84102-1962
(385) 468-4475
Mailing address
160 S 600 E, #300, SALT LAKE CITY, UT 84102-1962
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
101491-6004
UT
Other
Enumeration date
04/17/2011
Last updated
04/17/2011
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