JOEL WALLIS

PROVO, UT
NPI1164981452
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
Enumeration Date2019-03-15
Last Update Date2021-03-29
Business Address
JOEL WALLIS
1933 N 1120 W
PROVO, UT 84604-1044
Phone number: 801-683-6830
Mailing Address
JOEL WALLIS
177 S 1050 W APT 20
PROVO, UT 84601-7067
Phone number: 385-208-7054