Individual
TANJA GROVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
817 E 950 S, BRIGHAM CITY, UT 84302
(435) 695-2076
Mailing address
655 E 1300 N, LOGAN, UT 84341-2570
(435) 792-6500
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
Primary
11461201-3502
UT
104100000X
Social Worker
—
—
Other
Enumeration date
04/02/2019
Last updated
12/18/2020
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