SHANQUETTE PROPHET

RIVERDALE, UT
NPI1750148151
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: UT  13438834-3502)
Enumeration Date2024-03-01
Last Update Date2024-03-01
Business Address
SHANQUETTE PROPHET CSW
5131 S 1500 W
RIVERDALE, UT 84405-3926
Phone number: 706-305-5439
Mailing Address
SHANQUETTE PROPHET CSW
232 40TH ST
SOUTH OGDEN, UT 84405-2711
Phone number: 706-305-5439
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