Individual
MARINA DANIELLE FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
154 E MYRTLE AVE STE 204, MURRAY, UT 84107-4850
(385) 216-5178
Mailing address
154 E MYRTLE AVE STE 204, MURRAY, UT 84107-4850
(801) 369-8989
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13561376-3502
UT
Other
Enumeration date
02/02/2024
Last updated
02/02/2024
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