Search › Utah › 101YM0800X
M'Lisa Tillack, LCSW
NPI 1134377211 · on the registry since 2008
Practice
- Address
- 131 S 700 E Ste 102
American Fork, UT 84003 - Phone
- (801) 701-8061
- Organisation at this address
- Star Kids
Sarah Engler, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Additional practice sites
- 1780 W 500 S, Salt Lake City, UT
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-04-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah