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1114394764
LESLIE JENSEN
OGDEN, UT
NPI
1114394764
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-08-31
Last Update Date
2015-08-31
Business Address
Mrs. LESLIE JENSEN
1525 LINCOLN AVE
OGDEN, UT 84404-5638
Phone number: 801-621-6510
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Mailing Address
Mrs. LESLIE JENSEN
1257 E SHADOW RIDGE DR APT 11J
MIDVALE, UT 84047-4255
Phone number: 801-792-4621
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