Individual
MARISSA ANN GILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5983 S REDWOOD RD, TAYLORSVILLE, UT 84123-5261
(385) 800-3015
Mailing address
1569 W 3280 S UNIT 14B, WEST VALLEY CITY, UT 84119-7150
(801) 953-8566
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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