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1114704301
NATALIE DWIGHT
SOUTH SALT LAKE, UT
NPI
1114704301
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: UT 13485393-6014)
Enumeration Date
2023-09-11
Last Update Date
2023-09-11
Business Address
NATALIE DWIGHT
375 E SCOTT AVE
SOUTH SALT LAKE, UT 84115-4637
Phone number: 208-360-9962
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Mailing Address
NATALIE DWIGHT
375 E SCOTT AVE
SOUTH SALT LAKE, UT 84115-4637
Phone number: 208-360-9962
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