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1326537424
JACQUELYN LOUIS
SALT LAKE CITY, UT
NPI
1326537424
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NV 02280-I)
Enumeration Date
2018-05-03
Last Update Date
2018-05-03
Business Address
JACQUELYN LOUIS BA CADC-I
344 E 100 S
SALT LAKE CITY, UT 84111-1700
Phone number: 801-322-3222
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Mailing Address
JACQUELYN LOUIS BA CADC-I
344 E 100 S
SALT LAKE CITY, UT 84111-1700
Phone number: 801-322-3222
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