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1629674478
ALISON BALLSTAEDT
LOGAN, UT
NPI
1629674478
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 323110-3501)
Enumeration Date
2020-12-08
Last Update Date
2024-02-06
Business Address
ALISON BALLSTAEDT
246 E 1260 N
LOGAN, UT 84341-7501
Phone number: 435-750-6300
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Mailing Address
ALISON BALLSTAEDT
246 E 1260 N
LOGAN, UT 84341-7501
Phone number: 435-750-6300
Copy
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