Individual
PENELOPE SUE SCOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11075 S STATE ST STE 28, SANDY, UT 84070-5176
(801) 501-8444
Mailing address
3862 SENNIE DR, MAGNA, UT 84044-3108
(801) 884-6779
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7675576-6009
UT
Other
Enumeration date
09/22/2009
Last updated
07/29/2010
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