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1083912174
TRISHA JEAN PECK- GREEN
SALT LAKE CITY, UT
NPI
1083912174
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2011-03-14
Last Update Date
2011-03-14
Business Address
-- TRISHA JEAN PECK- GREEN
5965 S 900 E
SALT LAKE CITY, UT 84121-1720
Phone number: 801-263-7100
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Mailing Address
-- TRISHA JEAN PECK- GREEN
5965 S 900 E
SALT LAKE CITY, UT 84121-1720
Phone number: 801-263-7100
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