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1457875601
CLARISSA THOMAS
PROVO, UT
NPI
1457875601
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2017-07-31
Last Update Date
2022-11-21
Business Address
CLARISSA THOMAS
395 W COUGAR BLVD STE 105
PROVO, UT 84604-3311
Phone number: 801-357-8583
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Mailing Address
CLARISSA THOMAS
1675 N 1450 E
PROVO, UT 84604-5711
Phone number: 314-956-6506
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