Individual
CALLIE TATUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 FOOTHILL DR, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Mailing address
500 FOOTHILL DR, MENTAL HEALTH SERVICE (OP116), SALT LAKE CITY, UT 84148-0001
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9653070-3502
UT
Other
Enumeration date
02/16/2016
Last updated
02/09/2017
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