Dell Center | |
1912 Sidewinder Dr Ste 213 Park City UT 84060-7257 | |
(801) 447-2666 | |
Not Available |
Full Name | Dell Center |
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Speciality | Social Worker - Clinical |
Location | 1912 Sidewinder Dr Ste 213, Park City, Utah |
Authorized Official Name and Position | Jessica Dell (PRESIDENT) |
Authorized Official Contact | 4107907119 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dell Center 8641 Ranch Club Ct Park City UT 84098-6283 Ph: (410) 790-7119 | Dell Center 1912 Sidewinder Dr Ste 213 Park City UT 84060-7257 Ph: (801) 447-2666 |
NPI Number | 1093238743 |
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Provider Enumeration Date | 07/24/2017 |
Last Update Date | 07/24/2017 |
Identifier | Type | State | Issuer |
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1093238743 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 9718974-3501 (Utah) | Primary |
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