Individual
MISS MARISSA MARIAN SHAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1578 W 1900 S, WOODS CROSS, UT 84087-2298
(607) 287-6627
Mailing address
1578 W 1900 S, WOODS CROSS, UT 84087-2298
(607) 287-6627
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11889317-3501
UT
Other
Enumeration date
08/23/2022
Last updated
08/12/2025
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