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Individual

ADELLE PRICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
697 W 4170 S, MURRAY, UT 84123-1326
(801) 587-2460
Mailing address
2636 E STRINGHAM AVE, APT A304, SALT LAKE CITY, UT 84109-3966

Taxonomy

Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary

Other

Enumeration date
04/11/2017
Last updated
04/11/2017
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