Anicka Inc | |
3195 South Main St Ste 260 South Salt Lake UT 84115 | |
(385) 333-6403 | |
(810) 303-7383 |
Full Name | Anicka Inc |
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Speciality | Clinic/center - Adult Mental Health |
Location | 3195 South Main St, South Salt Lake, Utah |
Authorized Official Name and Position | Corinne Dalton (DIRECTOR) |
Authorized Official Contact | 8016549391 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Anicka Inc 3195 South Main St Ste 260 South Salt Lake UT 84115 Ph: (385) 333-6403 | Anicka Inc 3195 South Main St Ste 260 South Salt Lake UT 84115 Ph: (385) 333-6403 |
NPI Number | 1992346704 |
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Provider Enumeration Date | 10/02/2019 |
Last Update Date | 10/02/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992346704 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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