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1245895002
LAKEN SHIREY
MURRAY, UT
NPI
1245895002
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: UT 11106310-6009)
Enumeration Date
2019-05-07
Last Update Date
2019-06-11
Business Address
LAKEN SHIREY ACMHC
5801 S FASHION BLVD
MURRAY, UT 84107-6159
Phone number: 801-875-2128
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Mailing Address
LAKEN SHIREY ACMHC
273 E MILLPOINT PL
SOUTH SALT LAKE, UT 84115-4734
Phone number: 801-503-7129
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