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1619221264
SARAH E SOUTHERLAND
LAYTON, UT
NPI
1619221264
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-11-05
Last Update Date
2012-11-05
Business Address
-- SARAH E SOUTHERLAND
934 S MAIN ST
LAYTON, UT 84041-7135
Phone number: 801-336-1836
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Mailing Address
-- SARAH E SOUTHERLAND
934 S MAIN ST
LAYTON, UT 84041-7135
Phone number: 801-336-1836
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