ALICIA ANN SHUPE

PROVO, UT
NPI1326343476
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: UT  7753217-6006)
Enumeration Date2011-01-21
Last Update Date2020-06-05
Business Address
Mrs. ALICIA ANN SHUPE SUDC
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 801-373-4760
Mailing Address
Mrs. ALICIA ANN SHUPE SUDC
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 801-373-4760
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