Individual
MRS. TARA LYNN GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
30 N 1900 E, SALT LAKE CITY, UT 84132-0002
(801) 587-1157
Mailing address
30 N 1900 E # 1C325, SALT LAKE CITY, UT 84132-0002
(801) 587-1157
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6225796-3502
UT
Other
Enumeration date
11/27/2020
Last updated
11/27/2020
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