RAEGAN OWEN VELASQUEZ

SALT LAKE CITY, UT
NPI1538514989
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: UT  101YA0400X)
Enumeration Date2016-05-03
Last Update Date2016-08-10
Business Address
-- RAEGAN OWEN VELASQUEZ
344 E 100 S
SALT LAKE CITY, UT 84111-1700
Phone number: 801-573-3213
Mailing Address
-- RAEGAN OWEN VELASQUEZ
129 S 700 E APARTMENT 5
SALT LAKE CITY, UT 84102-4237
Phone number: 801-647-4255
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