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1497845929
JODI L FORSGREN
LOGAN, UT
NPI
1497845929
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: UT 4979666-6004)
Enumeration Date
2006-10-13
Last Update Date
2007-07-08
Business Address
-- JODI L FORSGREN LPC
90 E 200 N
LOGAN, UT 84321-4034
Phone number: 435-752-0750
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Mailing Address
-- JODI L FORSGREN LPC
25 WEST 200 NORTH
WELLSVILLE, UT 84339
Phone number: 435-245-9530
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