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1083737480
JESSICA WACKER
SALT LAKE CITY, UT
NPI
1083737480
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: UT 7727205-6004)
Enumeration Date
2007-04-09
Last Update Date
2012-01-12
Business Address
-- JESSICA WACKER
1782 HOLLADAY BLVD
SALT LAKE CITY, UT 84124-2606
Phone number: 801-703-5321
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Mailing Address
-- JESSICA WACKER
1782 HOLLADAY BLVD
SALT LAKE CITY, UT 84124-2606
Phone number: 801-703-5321
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