Individual
GLORIA DAWN EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1206 W SOUTH JORDAN PKWY, SUITE D, SOUTH JORDAN, UT 84095-5511
(801) 302-3801
(801) 302-7248
Mailing address
77 E KAYSVILLE CT, DRAPER, UT 84020-5108
(801) 865-4250
(801) 302-7248
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
8557264-3904
TN
Other
Enumeration date
06/18/2015
Last updated
06/18/2015
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