Alisa, Mary

Alisa, Mary is an individual health care provider with primary practice located at 433 S 500 E , American Fork UT 84003. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Alisa, Mary can be contacted via phone (801) 216-8000.

Contact Information

Primary practice address
433 S 500 E American Fork UT 84003
Phone: (801) 216-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X Utah
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1619459278
LBN Legal business name Alisa, Mary
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2018
Last updated Aug 30th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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