Organization
LATTER DAY SAINTS FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA NICOLE TABAREZ MSW (CSW/THERAPIST)
(801) 489-9721
Entity
Organization
Contact information
Practice address
1672 W 700 S STE D, SPRINGVILLE, UT 84663-4963
(801) 489-9721
Mailing address
1672 W 700 S STE D, SPRINGVILLE, UT 84663-4963
(801) 489-9721
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
7946204-3502
UT
Other
Enumeration date
08/02/2012
Last updated
08/02/2012
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