Individual
EUGENE INIA TAMIHANA MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
5600 NORTH HERITAGE DRIVE, PROVO, UT 84604-1677
(801) 226-4600
Mailing address
439 E 2000 S, OREM, UT 84058-8149
(801) 921-9244
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
357889-3502
UT
Other
Enumeration date
09/26/2006
Last updated
03/31/2009
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