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1053133504
ANDREA HEATON
SLC, UT
NPI
1053133504
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: UT 13995833-6006)
Enumeration Date
2024-10-28
Last Update Date
2024-10-28
Business Address
ANDREA HEATON SUDC
275 E SOUTH TEMPLE STE 250
SLC, UT 84111-1273
Phone number: 801-205-4026
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Mailing Address
ANDREA HEATON SUDC
275 E SOUTH TEMPLE STE 250
SALT LAKE CITY, UT 84111-1273
Phone number:
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