MADISON WALLER

TAYLORSVILLE, UT
NPI1992531883
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: UT  14153492-6006)
Enumeration Date2024-09-09
Last Update Date2024-09-09
Business Address
MADISON WALLER
3809 W 6200 S
TAYLORSVILLE, UT 84129-3725
Phone number: 801-963-4360
Mailing Address
MADISON WALLER
3725 W 4100 S STE 201
WEST VALLEY CITY, UT 84120-5427
Phone number: