Individual
TAMILYN FILLMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW INTERN
Contact information
Practice address
930 W HILL FIELD RD, LAYTON, UT 84041-4662
(801) 336-3040
Mailing address
479 S 225 E, CENTERVILLE, UT 84014-2207
(801) 413-4350
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/01/2021
Last updated
10/01/2021
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