CODY FEDA

SALT LAKE CITY, UT
NPI1235434291
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2011-01-21
Last Update Date2011-01-21
Business Address
-- CODY FEDA
344 EAST 100 SOUTH
SALT LAKE CITY, UT 84111
Phone number: 801-322-4257
Mailing Address
-- CODY FEDA
344 EAST 100 SOUTH
SALT LAKE CITY, UT 84111
Phone number: 801-322-4257
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