MARILEE VANWAGENEN

PROVO, UT
NPI1639630916
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
(Licence: UT  140473-3501)
Enumeration Date2019-03-28
Last Update Date2019-03-28
Business Address
MARILEE VANWAGENEN LCSW
151 S UNIVERSITY AVE STE 3200
PROVO, UT 84601-4427
Phone number: 801-851-7128
Mailing Address
MARILEE VANWAGENEN LCSW
151 S UNIVERSITY AVE STE 3200
PROVO, UT 84601-4427
Phone number: 801-851-7128