Individual
ALIVIA TESS IRWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
380 N 200 W STE 206, BOUNTIFUL, UT 84010
(801) 447-1392
Mailing address
1832 JERI DR, BOUNTIFUL, UT 84010-5316
(801) 647-3119
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
377869 3501
UT
Other
Enumeration date
08/30/2006
Last updated
10/18/2019
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