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Organization

SHIELDS YOUTH AND ADULT SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AUNOFO TERESA VAKALAHI (OWNER)
(385) 249-4655
Entity
Organization

Contact information

Practice address
635 S CAMARILLA CIR, SALT LAKE CITY, UT 84104-3125
(385) 249-4655
Mailing address
635 S CAMARILLA CIR, SALT LAKE CITY, UT 84104-3125
(385) 249-4655

Taxonomy

Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary

Other

Enumeration date
01/13/2023
Last updated
01/13/2023
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