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1396021036
ELISE HARWARD
SALT LAKE CITY, UT
NPI
1396021036
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: UT HT005146-001)
Enumeration Date
2011-10-26
Last Update Date
2011-10-26
Business Address
-- ELISE HARWARD Csac
411 GRANT ST
SALT LAKE CITY, UT 84116-2725
Phone number: 801-359-8862
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Mailing Address
-- ELISE HARWARD Csac
411 GRANT ST
SALT LAKE CITY, UT 84116-2725
Phone number:
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