Individual
MARISA PUALANI DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
40 W CACHE VALLEY BLVD STE 7A, LOGAN, UT 84341-8475
(435) 538-2152
(435) 625-6237
Mailing address
40 W CACHE VALLEY BLVD STE 7A, LOGAN, UT 84341-8475
(435) 538-2152
(435) 625-6237
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14222975-3502
UT
Other
Enumeration date
10/31/2024
Last updated
05/16/2025
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