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1255639126
TANYA YOUNG
SALT LAKE CITY, UT
NPI
1255639126
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: VA 71521696005)
Enumeration Date
2011-03-02
Last Update Date
2011-03-02
Business Address
-- TANYA YOUNG
5965 S 900 E
SALT LAKE CITY, UT 84121-1720
Phone number: 801-263-7100
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Mailing Address
-- TANYA YOUNG
5965 S 900 E
SALT LAKE CITY, UT 84121-1720
Phone number: 801-263-7100
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