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1235655606
JESSICA LOUIS
SOUTH SALT LAKE, UT
NPI
1235655606
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: UT 4859690-6006)
Enumeration Date
2017-08-17
Last Update Date
2023-05-18
Business Address
JESSICA LOUIS
62 E 2700 S
SOUTH SALT LAKE, UT 84115-3132
Phone number: 801-477-4480
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Mailing Address
JESSICA LOUIS
62 E 2700 S
SOUTH SALT LAKE, UT 84115-3132
Phone number: 801-477-4480
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