ETHAN CRISP

SPRINGVILLE, UT
NPI1821510512
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2017-07-13
Last Update Date2022-07-21
Business Address
ETHAN CRISP
757 S MAIN ST
SPRINGVILLE, UT 84663-2452
Phone number: 801-491-2270
Mailing Address
ETHAN CRISP
757 S MAIN ST
SPRINGVILLE, UT 84663-2452
Phone number: 801-491-2270
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