Individual
MELISSA WEATHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
251 S MOUNTAIN RD STE 1, FRUIT HEIGHTS, UT 84037-2371
(801) 510-5756
Mailing address
2067 E 1200 N, LAYTON, UT 84040-7756
(801) 510-5756
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7196782-3501
UT
Other
Enumeration date
04/12/2011
Last updated
05/06/2024
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