Individual
MARIELLE HOVSEPIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
265 S 1850 E, SALT LAKE CITY, UT 84112-0910
(385) 321-5356
Mailing address
265 S 1850 E, SALT LAKE CITY, UT 84112-0910
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8622394-3501
UT
Other
Enumeration date
05/04/2021
Last updated
05/10/2022
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