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1255173621
MADDIE BELLE LANDRUM
LOGAN, UT
NPI
1255173621
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 13994044-3502)
Enumeration Date
2024-06-07
Last Update Date
2024-06-07
Business Address
MADDIE BELLE LANDRUM CSW
15 GOLF COURSE ROAD SUITE E
LOGAN, UT 84321
Phone number: 435-799-5035
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Mailing Address
MADDIE BELLE LANDRUM CSW
1693 N 400 W APT B204
LOGAN, UT 84341-1989
Phone number: 208-260-0893
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