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1265736599
LYNDA DIANNE MCDONNELL
PROVO, UT
NPI
1265736599
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: UT 4944523-6006)
Enumeration Date
2010-12-30
Last Update Date
2010-12-30
Business Address
Mrs. LYNDA DIANNE MCDONNELL LSAC
151 S UNIVERSITY AVE
PROVO, UT 84601-4427
Phone number: 801-851-7652
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Mailing Address
Mrs. LYNDA DIANNE MCDONNELL LSAC
151 UNIVERSITY AVE
PROVO, UT 84601
Phone number: 801-851-7652
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