Individual
MARNI INES MOLINA VAEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
26 E 1775 N, OREM, UT 84057-2106
(801) 636-8308
Mailing address
26 E 1775 N, OREM, UT 84057-2106
(801) 636-8308
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9051897-3501
UT
Other
Enumeration date
09/28/2021
Last updated
09/28/2021
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