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1255851333
DERRA GULLICKSON
PROVO, UT
NPI
1255851333
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: UT 10979353-2501)
Enumeration Date
2017-06-21
Last Update Date
2019-10-31
Business Address
DERRA GULLICKSON MA, PsyD
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 801-373-4760
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Mailing Address
DERRA GULLICKSON MA, PsyD
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 801-373-4760
Copy
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