Individual
MS. TAUHEEDAH SABREEN WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSSW-MFT, LAMFT
Contact information
Practice address
750 N FREEDOM BLVD STE 300, PROVO, UT 84601-1690
(801) 377-1213
Mailing address
537 E 650 S, OREM, UT 84097-6336
(404) 422-5282
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
7921461-3904
UT
Other
Enumeration date
11/28/2011
Last updated
11/28/2011
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