GIANNINA FUENTES MENDIETA

BOUNTIFUL, UT
NPI1699220442
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: UT  8483250-3503)
Enumeration Date2016-08-22
Last Update Date2023-11-27
Business Address
GIANNINA FUENTES MENDIETA LCSW
415 MEDICAL DR STE D101
BOUNTIFUL, UT 84010-8905
Phone number: 801-683-1062
Mailing Address
GIANNINA FUENTES MENDIETA LCSW
415 MEDICAL DR STE D101
BOUNTIFUL, UT 84010-8905
Phone number: 801-683-1062
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