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1518668136
MARY ELISE VANDERHOLM
ST GEORGE, UT
NPI
1518668136
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: UT 11866328-6004)
Enumeration Date
2023-03-10
Last Update Date
2023-03-10
Business Address
MARY ELISE VANDERHOLM CMHC
1611 E 2450 S # 5A
ST GEORGE, UT 84790-6285
Phone number: 435-227-5506
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Mailing Address
MARY ELISE VANDERHOLM CMHC
1611 E 2450 S # 5A
ST GEORGE, UT 84790-6285
Phone number: 435-227-5506
Copy
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