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1144607235
MARIAH BROCKMAN
SALT LAKE CITY, UT
NPI
1144607235
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: UT 9301561-3904)
Enumeration Date
2015-04-28
Last Update Date
2015-09-02
Business Address
-- MARIAH BROCKMAN LAMFT
5965 S 900 E
SALT LAKE CITY, UT 84121-1720
Phone number: 801-263-7138
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Mailing Address
-- MARIAH BROCKMAN LAMFT
5965 S 900 E
SALT LAKE CITY, UT 84121-1720
Phone number: 801-263-7138
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