Individual
TYLER L PRINCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11618 S STATE ST STE 1604, DRAPER, UT 84020-7123
(385) 202-5645
Mailing address
10937 S LAKE RUN RD, SOUTH JORDAN, UT 84009-8728
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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