Individual
MRS. MARIAH GRACE GARZA WINSLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SSW
Contact information
Practice address
750 N 200 W STE 300, PROVO, UT 84601-1690
(801) 373-4760
Mailing address
750 NORTH 200 WEST SUITE 300, PROVO, UT 84601
(801) 373-4760
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7015951-3503
UT
Other
Enumeration date
02/22/2011
Last updated
02/22/2011
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