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1598019366
LUCA REID
PROVO, UT
NPI
1598019366
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: UT 8342806-6009)
Enumeration Date
2012-11-01
Last Update Date
2012-11-01
Business Address
-- LUCA REID ACMHC
1835 N 1120 W
PROVO, UT 84604-1180
Phone number: 801-477-0532
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Mailing Address
-- LUCA REID ACMHC
1835 N 1120 W
PROVO, UT 84604-1180
Phone number: 801-477-0532
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