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1437526886
TESS NICOLE SHAFER
PROVO, UT
NPI
1437526886
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: UT 95329586004)
Enumeration Date
2015-09-01
Last Update Date
2022-04-12
Business Address
TESS NICOLE SHAFER
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 801-373-4760
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Mailing Address
TESS NICOLE SHAFER
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 801-373-4760
Copy
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