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1588147987
BRANDIE CRYSTAL PATERAKIS
OGDEN, UT
NPI
1588147987
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Additional Taxonomies
1041C0700X Social Worker, Clinical
Enumeration Date
2018-09-11
Last Update Date
2018-09-11
Business Address
BRANDIE CRYSTAL PATERAKIS
1525 LINCOLN AVE STE 2
OGDEN, UT 84404-5647
Phone number: 801-621-6510
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Mailing Address
BRANDIE CRYSTAL PATERAKIS
1525 LINCOLN AVE STE 2
OGDEN, UT 84404-5647
Phone number: 801-621-6510
Copy
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