Individual
TARA GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2036 LINCOLN AVE, OGDEN, UT 84401-6515
(801) 719-7737
Mailing address
2036 LINCOLN AVE, OGDEN, UT 84401-6515
(801) 719-7737
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9523317-3502
UT
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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