KAELEA ROSE WAGAMAN-HASSELSTROM

SALT LAKE CITY, UT
NPI1598416349
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: UT  12592546-6008)
Enumeration Date2022-01-13
Last Update Date2022-01-13
Business Address
KAELEA ROSE WAGAMAN-HASSELSTROM ALSUDC
950 E 3300 S
SALT LAKE CITY, UT 84106-2141
Phone number: 801-359-8862
Mailing Address
KAELEA ROSE WAGAMAN-HASSELSTROM ALSUDC
716 N 900 W APT 106
SALT LAKE CITY, UT 84116-4014
Phone number: 425-374-9449
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