Individual
MARYELLEN SCHUMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
501 S CHIPETA WAY, SALT LAKE CITY, UT 84108-1222
(801) 587-5187
Mailing address
501 S CHIPETA WAY, SALT LAKE CITY, UT 84108-1222
(801) 587-3187
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
131851-3501
UT
Other
Enumeration date
11/08/2021
Last updated
11/08/2021
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