COREY JAMES MARKISICH

MIDVALE, UT
NPI1033438288
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: UT  7220715-6006)
Enumeration Date2010-05-27
Last Update Date2012-05-03
Business Address
-- COREY JAMES MARKISICH LSAC
7300 S 300 W SUITE 101
MIDVALE, UT 84047-1962
Phone number: 801-984-1717
Mailing Address
-- COREY JAMES MARKISICH LSAC
2179 N 725 W
WEST BOUNTIFUL, UT 84087-1104
Phone number:
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