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1235405259
TALAISHA BRACKEN
ST GEORGE, UT
NPI
1235405259
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 6124913-3501)
Enumeration Date
2012-03-23
Last Update Date
2020-06-12
Business Address
TALAISHA BRACKEN LCSW
25 N 100 E STE 102
ST GEORGE, UT 84770-7369
Phone number: 435-986-2565
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Mailing Address
TALAISHA BRACKEN LCSW
25 N 100 E STE 102
ST GEORGE, UT 84770-7369
Phone number: 435-986-2565
Copy
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