Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Martine Serawop

Individual provider Peer Specialist · NPI 1861381402

Mary Martine Serawop is a Peer Specialist in Salt Lake City, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2025

Practice location Address checks out

117 W 400 S
Salt Lake City, UT 84101-1916
Phone: (801) 428-4257
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 1861381402 (UT)

Record details

NPI number1861381402
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 30, 2025
Last updated in NPPESJuly 22, 2026
Certification dateJuly 22, 2026

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