KALISITIANE ULUAVE

LOGAN, UT
NPI1568034965
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  12260180-3506)
Enumeration Date2021-07-14
Last Update Date2021-07-14
Business Address
KALISITIANE ULUAVE
115 GOLF COURSE RD STE E
LOGAN, UT 84321-5934
Phone number: 435-799-5035
Mailing Address
KALISITIANE ULUAVE
115 GOLF COURSE RD STE E
LOGAN, UT 84321-5934
Phone number: 435-799-5035
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