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1629375787
LISA RAE CHATELAIN
SALT LAKE CITY, UT
NPI
1629375787
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: UT 7491770-6006)
Enumeration Date
2011-02-24
Last Update Date
2011-02-24
Business Address
-- LISA RAE CHATELAIN LSAC
5965 S 900 E
SALT LAKE CITY, UT 84121-1720
Phone number: 801-263-7100
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Mailing Address
-- LISA RAE CHATELAIN LSAC
5965 S 900 E
SALT LAKE CITY, UT 84121-1720
Phone number: 801-263-7100
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