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1023835469
NIQUELLE BAXTER
LOGAN, UT
NPI
1023835469
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: UT 14177133-6009)
Enumeration Date
2024-09-25
Last Update Date
2024-09-25
Business Address
NIQUELLE BAXTER
274 N MAIN ST
LOGAN, UT 84321-3915
Phone number: 435-213-9278
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Mailing Address
NIQUELLE BAXTER
274 N MAIN ST
LOGAN, UT 84321-3915
Phone number: 435-213-9278
Copy
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