Provider Demographics
NPI:1255713582
Name:TUKUAFU, EVA (LCSW)
Entity type:Individual
Prefix:MS
First Name:EVA
Middle Name:
Last Name:TUKUAFU
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:EVA
Other - Middle Name:LOSALINE
Other - Last Name:TUKUAFU MORGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CSW
Mailing Address - Street 1:772 E NEWFIELD DR
Mailing Address - Street 2:
Mailing Address - City:SANDY
Mailing Address - State:UT
Mailing Address - Zip Code:84094-1260
Mailing Address - Country:US
Mailing Address - Phone:801-657-8596
Mailing Address - Fax:
Practice Address - Street 1:5770 S 1500 W
Practice Address - Street 2:
Practice Address - City:TAYLORSVILLE
Practice Address - State:UT
Practice Address - Zip Code:84123-5216
Practice Address - Country:US
Practice Address - Phone:801-313-7970
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-23
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT9032061-35011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical