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1194292375
MAGGIE ANGELA HATFIELD
PROVO, UT
NPI
1194292375
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: UT 9551903-6005)
Enumeration Date
2018-10-25
Last Update Date
2018-10-25
Business Address
MAGGIE ANGELA HATFIELD SUDC
286 S 600 E
PROVO, UT 84606
Phone number: 801-850-4307
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Mailing Address
MAGGIE ANGELA HATFIELD SUDC
286 S 600 E
PROVO, UT 84606-4779
Phone number:
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