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Individual

MS. LAYNA MECHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CSAC

Contact information

Practice address
411 GRANT ST, SALT LAKE CITY, UT 84116-2725
(801) 359-8862
(801) 532-2280
Mailing address
411 GRANT ST, SALT LAKE CITY, UT 84116-2725
(801) 359-8862
(801) 532-2280

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
72092256005
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8017877616
UT
Enumeration date
11/01/2010
Last updated
11/01/2010
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