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Individual

CASEY LEE FLEMING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
515 S 700 E STE 2A, SALT LAKE CITY, UT 84102-2855
(801) 935-4171
(801) 935-4946
Mailing address
647 S 1200 E APT 14A, SALT LAKE CITY, UT 84102-3921
(442) 202-9896

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
UT

Other

Enumeration date
09/01/2020
Last updated
09/04/2020
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