Individual
SANDRA DVORAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1952 E FORT UNION BLVD, SUITE 101, SALT LAKE CITY, UT 84121-6877
(801) 942-3311
Mailing address
1952 E. 7000 S., SALT LAKE CITY, UT 84121-6877
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8172
CA
Other
Enumeration date
11/05/2013
Last updated
11/05/2013
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