Individual
DEIDRE CORDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
140 W 2100 S STE 110, SALT LAKE CITY, UT 84115-1855
(793) 180-1896
Mailing address
140 W 2100 S STE 110, SALT LAKE CITY, UT 84115-1855
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/12/2023
Last updated
05/12/2023
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