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1194476010
ELIZABETH TOM
LAYTON, UT
NPI
1194476010
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: 12939289-3502)
Enumeration Date
2022-01-12
Last Update Date
2024-09-25
Business Address
ELIZABETH TOM
934 S MAIN ST
LAYTON, UT 84041-7135
Phone number: 801-336-1845
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Mailing Address
ELIZABETH TOM
934 S MAIN ST
LAYTON, UT 84041-7135
Phone number: 801-773-7060
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