Individual
ADALIE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6910 S HIGHLAND DR STE 1, SALT LAKE CITY, UT 84121-3061
(801) 935-4171
Mailing address
515 S 700 E STE A, SALT LAKE CITY, UT 84102-2801
(801) 935-4171
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/01/2022
Last updated
12/01/2022
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