Individual
IURI TIAGO MELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
689 E SONORAN DR, WASHINGTON, UT 84780-8261
(435) 986-1805
Mailing address
689 E SONORAN DR, WASHINGTON, UT 84780-8261
(435) 986-1805
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5252165-3501
UT
Other
Enumeration date
07/09/2008
Last updated
07/09/2008
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