MEDICARE: TAMBER LAYNE SNARR LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	172V00000X	Community Health Worker	4984052-3501	UT

General Provider Information

NPI Number	:	1982939856
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMBER LAYNE SNARR LCSW

Provider Business Mailing Address
First Line	:	3191 S 3300 E
Second Line	:	SUITE 230
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84109-4274
Country	:	US
Telephone Number	:	801-637-3437
Fax Number	:

Provider Business Practice Location Address
First Line	:	3191 S 3300 E
Second Line	:	SUITE 230
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84109-4274
Country	:	US
Telephone Number	:	801-637-3437
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/12/2009
Last Update Date	:	10/12/2009

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