Individual
MRS. TIMANDRA E. FAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
173 N 250 W, LA VERKIN, UT 84745-5236
(435) 635-7174
Mailing address
173 N 250 W, LA VERKIN, UT 84745-5236
(435) 635-7174
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
5901026-3902
UT
Other
Enumeration date
02/29/2008
Last updated
02/29/2008
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