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1427573609
TINA LYN BRAITHWAITE
SANDY, UT
NPI
1427573609
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: UT 10390942-6009)
Enumeration Date
2017-08-08
Last Update Date
2017-08-08
Business Address
TINA LYN BRAITHWAITE
11075 S STATE ST
SANDY, UT 84070-5164
Phone number: 801-360-7777
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Mailing Address
TINA LYN BRAITHWAITE
109 E WILDFLOWER CT
SARATOGA SPRINGS, UT 84045-8156
Phone number: 801-360-7777
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