TIMOTHY SHEA ENNISS

SALT LAKE CITY, UT
NPI1750487864
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  5664530-3501)
Enumeration Date2006-09-15
Last Update Date2017-04-12
Business Address
Mr. TIMOTHY SHEA ENNISS LCSW
1208 E 3300 S
SALT LAKE CITY, UT 84106-2522
Phone number: 801-483-1600
Mailing Address
Mr. TIMOTHY SHEA ENNISS LCSW
2922 W 12875 S
RIVERTON, UT 84065-6846
Phone number: 801-979-1305
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