Individual
TIFFANY ZWAHLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13947 S NEWBURG DR, HERRIMAN, UT 84096-6787
(801) 506-6695
Mailing address
13947 S NEWBURG DR, HERRIMAN, UT 84096-6787
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
13543269-6009
UT
106S00000X
Behavior Technician
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
09/16/2019
Last updated
02/01/2024
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