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1194298471
TAMARA DAWN PANTELAKIS
PRICE, UT
NPI
1194298471
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Former Name
TAMMIE AXELSEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 9839495-3501)
Enumeration Date
2019-01-09
Last Update Date
2019-01-09
Business Address
TAMARA DAWN PANTELAKIS L.C.S.W.
375 S CARBON AVE RM 129
PRICE, UT 84501-2909
Phone number: 435-650-5803
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Mailing Address
TAMARA DAWN PANTELAKIS L.C.S.W.
640 E 500 S
PRICE, UT 84501-3338
Phone number: 435-650-5803
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