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1609465574
SYDNIE D MICKELSON
EPHRAIM, UT
NPI
1609465574
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-01-14
Last Update Date
2021-01-14
Business Address
SYDNIE D MICKELSON
390 W 100 N
EPHRAIM, UT 84627-2131
Phone number: 435-283-8400
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Mailing Address
SYDNIE D MICKELSON
152 N 400 W
EPHRAIM, UT 84627-5549
Phone number: 435-283-8400
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