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1285917468
ALICIA JEANNE TIERNAN
SALT LAKE CITY, UT
NPI
1285917468
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-09-23
Last Update Date
2011-09-23
Business Address
-- ALICIA JEANNE TIERNAN
607 E 200 S
SALT LAKE CITY, UT 84102-2110
Phone number: 801-322-4257
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Mailing Address
-- ALICIA JEANNE TIERNAN
931 S 300 E
SALT LAKE CITY, UT 84111-4614
Phone number: 267-345-6003
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