Individual
ELIZA MAE WALKOVIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5937 S REDWOOD RD, TAYLORSVILLE, UT 84123-5254
(801) 576-6444
Mailing address
1156 S FOOTHILL DR APT 111, SALT LAKE CITY, UT 84108-1949
(801) 448-6809
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
12/02/2020
Last updated
06/04/2025
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