Individual
MS. MARILEE GRACE TUIFUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11113 S MESA VISTA CT, SOUTH JORDAN, UT 84095-8169
(801) 694-2806
Mailing address
11113 S. MESA VISTA COURT, SOUTH JORDAN, UT 84095
(801) 694-2806
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4780264-3501
UT
Other
Enumeration date
11/04/2016
Last updated
11/04/2016
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