Individual
MAUREEN LOUISE KILLILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APC
Contact information
Practice address
2872 HIGHLAND DR, SALT LAKE CITY, UT 84106-3147
(801) 485-8051
(801) 485-8111
Mailing address
2872 HIGHLAND DR, SALT LAKE CITY, UT 84106-3147
(801) 485-8051
(801) 485-8111
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7725562-6009
UT
Other
Enumeration date
05/07/2012
Last updated
05/07/2012
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