Individual
MARISA WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
930 W HILL FIELD RD, LAYTON, UT 84041-4662
(801) 336-0029
(801) 336-3041
Mailing address
1558 E MILLBROOK WAY, BOUNTIFUL, UT 84010-1530
(801) 510-4142
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/08/2019
Last updated
08/08/2019
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