Individual
TABITHA NICOLE WEBSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
750 N FREEDOM BLVD, PROVO, UT 84601-1677
(801) 373-4760
Mailing address
770 E MAIN ST, #428, LEHI, UT 84043-2293
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
8749465-3902
UT
Other
Enumeration date
02/16/2011
Last updated
08/25/2016
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