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1366051252
CHRISTINA A MIKESELL
LAYTON, UT
NPI
1366051252
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 12304780-3501)
Enumeration Date
2020-07-27
Last Update Date
2022-12-14
Business Address
CHRISTINA A MIKESELL LCSW
934 S MAIN ST
LAYTON, UT 84041-7135
Phone number: 801-773-7060
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Mailing Address
CHRISTINA A MIKESELL LCSW
934 S MAIN ST
LAYTON, UT 84041-7135
Phone number: 801-773-7060
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