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1265733596
BROOK RIDGE
SALT LAKE CITY, UT
NPI
1265733596
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: UT 7359103-6009)
Enumeration Date
2010-11-03
Last Update Date
2011-12-09
Business Address
-- BROOK RIDGE LPC
450 S 900 E SUITE 300
SALT LAKE CITY, UT 84102-2981
Phone number: 801-532-1850
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Mailing Address
-- BROOK RIDGE LPC
450 S 900 E SUITE 300
SALT LAKE CITY, UT 84102-2981
Phone number: 801-532-1850
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