Individual
YANABAH TACHENE WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
660 S 200 E STE 250, SALT LAKE CITY, UT 84111-3846
(801) 359-2256
Mailing address
699 S 45 E, VINEYARD, UT 84059-5549
(801) 602-7800
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5075915-3502
UT
Other
Enumeration date
07/21/2021
Last updated
07/21/2021
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