MR. Dale Eborn

NPI #1477868354 in Marysvale, Utah

Provider Information

NPI Number: 1477868354
Entity Type: Individual
Name: MR. Dale Eborn
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Aug 16, 2010
Last Updated: Aug 24, 2010

Practice Location

Address: 8500 S. TEN MILE RD
City: Marysvale
State: Utah
ZIP Code: 84750
Phone: (435) 326-4300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Foster Care Agency	253J00000X
Counselor	101Y00000X	Primary

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