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1336699339
DOLORES MICHAEL
LOGAN, UT
NPI
1336699339
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: UT 9037739-3902)
Enumeration Date
2016-10-13
Last Update Date
2021-08-16
Business Address
DOLORES MICHAEL LMFT
274 N MAIN ST
LOGAN, UT 84321-3915
Phone number: 435-881-0584
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Mailing Address
DOLORES MICHAEL LMFT
560 W 465 N STE 604
PROVIDENCE, UT 84332-8006
Phone number: 435-753-1600
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