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Individual

MARISA T. SILVA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1410 W STATE RD STE B, PLEASANT GROVE, UT 84062
(801) 796-8810
(877) 808-1960
Mailing address
1410 W STATE RD STE B, PLEASANT GROVE, UT 84062-5048
(801) 796-8810
(877) 808-1960

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
262048-3501
UT

Other

Enumeration date
10/04/2006
Last updated
09/05/2018
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