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1174875488
MARIE ELEANOR ROUSHAR
PLEASANT GROVE, UT
NPI
1174875488
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 8265368-3502)
Enumeration Date
2012-10-10
Last Update Date
2012-10-10
Business Address
-- MARIE ELEANOR ROUSHAR CSW
194 S MAIN ST
PLEASANT GROVE, UT 84062-2631
Phone number: 801-785-1169
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Mailing Address
-- MARIE ELEANOR ROUSHAR CSW
194 S MAIN ST
PLEASANT GROVE, UT 84062-2631
Phone number: 801-785-1169
Copy
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