ETHAN MARYON

BOUNTIFUL, UT
NPI1720533664
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
Additional Taxonomies104100000X Social Worker
(Licence: UT  10382606-3502)
Enumeration Date2016-08-21
Last Update Date2018-03-20
Business Address
ETHAN MARYON
1325 N MAIN ST STE 3
BOUNTIFUL, UT 84010-6090
Phone number: 801-380-3087
Mailing Address
ETHAN MARYON
1957 E HUBBARD AVE
SALT LAKE CITY, UT 84108-1303
Phone number: