Individual
SHANELL TUITELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
777 W 200 S, PROVO, UT 84601-4061
(253) 883-7490
Mailing address
777 W 200 S, PROVO, UT 84601-4061
(253) 883-7490
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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