TAIA SOUTHICHACK

AMERICAN FORK, UT
NPI1619650983
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: UT  13498101-6009)
Enumeration Date2023-08-11
Last Update Date2023-08-11
Business Address
TAIA SOUTHICHACK ACMHC
64 S 360 E
AMERICAN FORK, UT 84003-2590
Phone number: 801-449-0017
Mailing Address
TAIA SOUTHICHACK ACMHC
452 N 625 W
CLEARFIELD, UT 84015-3859
Phone number: 801-814-8060
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