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Provider Information for 1316308885


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MICHELLE PARRISH


Sex: Female

NPI: 1316308885
Last Updated: 2016-03-11
Certification Date:

Details

NameValue
NPI1316308885
Enumeration Date2016-03-11
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 4460 S HIGHLAND DR
#230
SALT LAKE CITY, UT 84124-3543
United States

Phone: 888-949-4864 | Fax:
 
Primary Practice Address 4460 S HIGHLAND DR
#230
SALT LAKE CITY, UT 84124-3543
United States

Phone: 888-949-4864 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - Clinical