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1033438288
COREY JAMES MARKISICH
MIDVALE, UT
NPI
1033438288
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: UT 7220715-6006)
Enumeration Date
2010-05-27
Last Update Date
2012-05-03
Business Address
-- COREY JAMES MARKISICH LSAC
7300 S 300 W SUITE 101
MIDVALE, UT 84047-1962
Phone number: 801-984-1717
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Mailing Address
-- COREY JAMES MARKISICH LSAC
2179 N 725 W
WEST BOUNTIFUL, UT 84087-1104
Phone number:
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