Individual
HEATHER TUTTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
321 N MALL DR STE E102, ST GEORGE, UT 84790-7305
(435) 673-6446
Mailing address
321 N MALL DR STE E102, ST GEORGE, UT 84790-7305
(435) 673-6446
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
390200000X
TAXONOMY
UT
Enumeration date
11/07/2013
Last updated
09/27/2019
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