| Modern Eve Inc | |
|
323 E Stanton Ave # A Slc UT 84111-3519 | |
| (801) 695-9955 | |
| Not Available |
| Full Name | Modern Eve Inc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 323 E Stanton Ave # A, Slc, Utah |
| Authorized Official Name and Position | Shannon Ricks (PRESIDENT) |
| Authorized Official Contact | 8016959955 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Eve Inc 323 E Stanton Ave # A Slc UT 84111-3519 Ph: (801) 695-9955 | Modern Eve Inc 323 E Stanton Ave # A Slc UT 84111-3519 Ph: (801) 695-9955 |
| NPI Number | 1154916823 |
|---|---|
| Provider Enumeration Date | 03/04/2021 |
| Last Update Date | 03/04/2021 |
| Certification Date | 03/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154916823 | NPI | - | NPPES |
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