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1154629376
AMANDA LARSEN
SALT LAKE CITY, UT
NPI
1154629376
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: UT 4807974-3503)
Enumeration Date
2011-03-11
Last Update Date
2011-03-11
Business Address
-- AMANDA LARSEN
5965 S 900 E
SALT LAKE CITY, UT 84121-1720
Phone number: 801-263-7100
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Mailing Address
-- AMANDA LARSEN
5965 S 900 E
SALT LAKE CITY, UT 84121-1720
Phone number: 801-263-7100
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