Organization
INTERO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARINA DANIELLE FOWLER LSCW (THERAPIST)
(385) 216-5178
Entity
Organization
Contact information
Practice address
1471 S RICHARDS ST UNIT A, SALT LAKE CITY, UT 84115-5345
(385) 216-5178
Mailing address
1471 S RICHARDS ST UNIT A, SALT LAKE CITY, UT 84115-5345
(385) 216-5178
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/06/2026
Last updated
05/06/2026
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