Individual
MARY JILL WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMHC
Contact information
Practice address
1663 N 300 W, MAPLETON, UT 84664-3538
(801) 808-4464
Mailing address
1663 N 300 W, MAPLETON, UT 84664-3538
(801) 808-4464
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
13205946-6004
UT
Other
Enumeration date
02/13/2025
Last updated
02/13/2025
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