AUTUMN SERAPHINA TALBOTT-CISNEROS

SOUTH SALT LAKE, UT
NPI1124766142
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TS0200X Psychologist, School
(Licence: UT  734604)
Enumeration Date2022-05-20
Last Update Date2022-05-20
Business Address
Mrs. AUTUMN SERAPHINA TALBOTT-CISNEROS MS
2500 S STATE ST
SOUTH SALT LAKE, UT 84115-3164
Phone number: 385-646-5000
Mailing Address
Mrs. AUTUMN SERAPHINA TALBOTT-CISNEROS MS
2562 E 3210 S
SALT LAKE CITY, UT 84109-2750
Phone number: 435-640-1821