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1053133322
SIDELINE SPORT PSYCHOLOGY PLLC
SALT LAKE CITY, UT
NPI
1053133322
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Entity Type
Organization
Authorized Contact
JOURDAN JOHNSON
Owner
916-690-0399
Organization Subpart ?
No
Primary Taxonomy
261QM0850X Clinic/Center, Adult Mental Health
Enumeration Date
2024-10-29
Last Update Date
2024-10-29
Business Address
SIDELINE SPORT PSYCHOLOGY PLLC
1336 S 1100 E
SALT LAKE CITY, UT 84105-2421
Phone number: 385-899-2251
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Mailing Address
SIDELINE SPORT PSYCHOLOGY PLLC
4715 S BRON BRECK ST
HOLLADAY, UT 84117-6403
Phone number: 916-690-6482
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