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1639129604
SUSAN LOUISE DICKINSON
SALT LAKE CITY, UT
NPI
1639129604
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TS0200X Psychologist, School
(Licence: UT XXXXX-XXXXX)
Enumeration Date
2006-05-11
Last Update Date
2007-07-08
Business Address
-- SUSAN LOUISE DICKINSON PSYCH
44 N MEDICAL DR
SALT LAKE CITY, UT 84113-1105
Phone number: 801-584-8550
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Mailing Address
-- SUSAN LOUISE DICKINSON PSYCH
818 3RD AVE
SALT LAKE CITY, UT 84103-3825
Phone number: 801-534-1006
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