Individual
MARISSA J VAN NOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11620 S STATE ST STE 1404, DRAPER, UT 84020-7124
(801) 508-4150
Mailing address
238 E ROCKWOOD WAY, TOOELE, UT 84074-5573
(435) 850-9708
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11991316-3502
UT
Other
Enumeration date
04/12/2021
Last updated
04/12/2021
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