Individual
TANNI ANN HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
230 N 1680 E STE R3, ST GEORGE, UT 84790-2563
(801) 485-8051
Mailing address
2872 S HIGHLAND DR, SALT LAKE CITY, UT 84106-3147
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11275786-3502
UT
Other
Enumeration date
07/15/2019
Last updated
07/15/2019
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