TAMARA DAWN PANTELAKIS

PRICE, UT
NPI1194298471
Former NameTAMMIE AXELSEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: UT  9839495-3501)
Enumeration Date2019-01-09
Last Update Date2019-01-09
Business Address
TAMARA DAWN PANTELAKIS L.C.S.W.
375 S CARBON AVE RM 129
PRICE, UT 84501-2909
Phone number: 435-650-5803
Mailing Address
TAMARA DAWN PANTELAKIS L.C.S.W.
640 E 500 S
PRICE, UT 84501-3338
Phone number: 435-650-5803