Individual
TAMRA MONIQUE PARKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SSW
Contact information
Practice address
5134 TICKLEGRASS RD, WEST JORDAN, UT 84081
(801) 592-2560
Mailing address
5134 TICKLEGRASS RD, WEST JORDAN, UT 84081
(801) 592-2560
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5522924-3503
UT
Other
Enumeration date
12/19/2012
Last updated
12/19/2012
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