CAREHERE-3FORM
Marriage and Family Therapists at 2300, Salt Lake City, UT

License number
Utah 6213714-1205
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: ERNIE CLEVENGER
Title: PRESIDENT
Phone: (615) 221-5901
Address
Address 2
S 2300 W STE B, Salt Lake City, UT 84119
5141 Virginia Way STE 350, Brentwood, TN 37027
National Provider ID: 1447619762
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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