MYRNA SUZANNE GILLIS

PROVO, UT
NPI1356778377
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: UT  104100000X)
Enumeration Date2013-10-04
Last Update Date2017-01-24
Business Address
-- MYRNA SUZANNE GILLIS LAMFT
1726 BUCKLEY DRIVE
PROVO, UT 84606
Phone number: 801-373-6562
Mailing Address
-- MYRNA SUZANNE GILLIS LAMFT
857 EAST 200 SOUTH
SALT LAKE CITY, UT 84102
Phone number: 801-487-3276
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