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1407207384
ERICA LEANNA HEROLD
PROVO, UT
NPI
1407207384
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-06-22
Last Update Date
2016-06-22
Business Address
-- ERICA LEANNA HEROLD
1726 BUCKLEY LN
PROVO, UT 84606-5031
Phone number: 801-373-6562
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Mailing Address
-- ERICA LEANNA HEROLD
1726 BUCKLEY LN
PROVO, UT 84606-5031
Phone number: 801-373-6562
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