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1215237755
CHERYL LYNNE GRAVES
SALT LAKE CITY, UT
NPI
1215237755
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: UT 7232590-6005)
Enumeration Date
2010-11-01
Last Update Date
2010-11-01
Business Address
CHERYL LYNNE GRAVES CSAC
411 GRANT ST
SALT LAKE CITY, UT 84116-2725
Phone number: 801-359-8862
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Mailing Address
CHERYL LYNNE GRAVES CSAC
411 GRANT ST PO BOX 16508
SALT LAKE CITY, UT 84116-2725
Phone number: 801-359-8862
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