KIERRA TERRY ELLSWORTH

SALT LAKE CITY, UT
NPI1215594734
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2019-05-20
Last Update Date2019-05-20
Business Address
KIERRA TERRY ELLSWORTH
515 S 700 E STE 2A
SALT LAKE CITY, UT 84102-2855
Phone number: 800-434-8923
Mailing Address
KIERRA TERRY ELLSWORTH
5524 W SLATE CANYON DR APT 302
WEST JORDAN, UT 84081-5570
Phone number: 801-702-7382