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1023631066
JESSICA MARIE AUSTIN LAYCOCK
SALT LAKE CITY, UT
NPI
1023631066
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: UT 10927765-3503)
Enumeration Date
2020-05-26
Last Update Date
2020-05-26
Business Address
JESSICA MARIE AUSTIN LAYCOCK
4460 S HIGHLAND DR STE 210
SALT LAKE CITY, UT 84124-3550
Phone number: 888-949-4864
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Mailing Address
JESSICA MARIE AUSTIN LAYCOCK
4460 S HIGHLAND DR STE 210
SALT LAKE CITY, UT 84124-3550
Phone number: 888-949-4864
Copy
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