DEBRA GOUGH

SALT LAKE CITY, UT
NPI1326346784
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: UT  358791-6006)
Enumeration Date2011-03-09
Last Update Date2011-03-09
Business Address
-- DEBRA GOUGH lsac
5965 S 900 E
SALT LAKE CITY, UT 84121-1720
Phone number: 801-263-7100
Mailing Address
-- DEBRA GOUGH lsac
5965 S 900 E
SALT LAKE CITY, UT 84121-1720
Phone number: 801-263-7100
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