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Individual

GEORGIA DALTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1300 E CENTER ST, PROVO, UT 84606-3554
(801) 344-4126
Mailing address
1300 E CENTER ST, PROVO, UT 84606-3554
(801) 344-4126

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY1050
NV

Other

Enumeration date
07/11/2019
Last updated
12/21/2021
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