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1376140798
LAURA ALICIA LUCKY
BOUNTIFUL, UT
NPI
1376140798
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2020-10-08
Last Update Date
2020-10-08
Business Address
LAURA ALICIA LUCKY
415 MEDICAL DR STE D101
BOUNTIFUL, UT 84010-8905
Phone number: 801-683-1062
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Mailing Address
LAURA ALICIA LUCKY
415 MEDICAL DR STE D101
BOUNTIFUL, UT 84010-8905
Phone number: 801-683-1062
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