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1114251121
LISA CROUDY
SALT LAKE CITY, UT
NPI
1114251121
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: UT 7630789-6009)
Enumeration Date
2009-09-23
Last Update Date
2011-12-08
Business Address
Ms. LISA CROUDY APC
450 S 900 E STE 300
SALT LAKE CITY, UT 84102-3064
Phone number: 801-534-7906
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Mailing Address
Ms. LISA CROUDY APC
4268 SHIRLEY LN
SALT LAKE CITY, UT 84124-3057
Phone number: 801-534-7906
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