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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARY THIBODEAU

Active

MARY THIBODEAU is a Peer Specialist healthcare provider located in SALT LAKE CITY, Utah. NPI 1407301633 is currently active in the NPPES registry. Verify at CMS.

Peer Specialist · SALT LAKE CITY, UT

Registration Details

NPI Number
1407301633
Provider Type
Individual
Gender
Female
NPI Issued
Aug 17, 2016 (9.9511802224118 yrs)
Last Updated
Aug 17, 2016

Practice Information

Address
344 E 100 S
STE 301
SALT LAKE CITY, UT, 841111700
Browse UT providers · Browse ZIP 84111
Phone
8013224257
Fax
8014782686
Primary Specialty
Peer Specialist
175T00000X

Other Peer Specialist Providers in SALT LAKE CITY, UT

Name Credential NPI
MRS. JOLYNNE MARIE LUCERO 1013215003
MS. KATHARINE DALTON 1245656784
DIXY ESCALANTE 1326458662
DANIEL DAVIDSON 1619335130
RICHARD JACK CLARK PEER SUPPORT 1316393283
DAVID BECKSTEAD 1558711770
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.