SELMA HERCINOVIC

BOUNTIFUL, UT
NPI1619379971
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  6851568-3501)
Enumeration Date2014-09-18
Last Update Date2014-09-18
Business Address
-- SELMA HERCINOVIC
630 MEDICAL DR
BOUNTIFUL, UT 84010-4908
Phone number: 801-299-3780
Mailing Address
-- SELMA HERCINOVIC
110 S 800 E 406
SALT LAKE CITY, UT 84102-4118
Phone number: 801-598-1096
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