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1336607043
AMBERLY JILL HANSEN
OGDEN, UT
NPI
1336607043
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-03-12
Last Update Date
2019-03-12
Business Address
AMBERLY JILL HANSEN SUDC-I
2661 WASHINGTON BLVD STE 102
OGDEN, UT 84401-3606
Phone number: 801-233-8670
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Mailing Address
AMBERLY JILL HANSEN SUDC-I
2661 WASHINGTON BLVD STE 102
OGDEN, UT 84401-3606
Phone number: 801-233-8670
Copy
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