M'LISA TILLACK (LCSW) – Mental Health Counselor, NPI 1134377211
Mental Health Counselor
Main info
Profile Insights
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Provider Addresses for M'LISA TILLACK (LCSW)
1780 W 500 S
Salt Lake City, UT 841043505
Phone: (801) 725-4140
Fax: (801) 973-8836
Type: Location
1780, 500 South, Poplar Grove, Salt Lake City, Salt Lake County, Utah, 84104, United States
SALT LAKE CITY, UT 841043505
Phone: (801) 725-4140
Type: Mailing
102, South 700 East, American Fork, Utah County, Utah, 84003, United States
AMERICAN FORK, UT 84003
Phone: (801) 701-8061
Type: Location
NPPES updates history
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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Insurance plans in this area (ZIP 84104)
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