GINA LELALA MABEL PURCELL

PROVO, UT
NPI1679684492
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  3747763501)
Enumeration Date2006-08-31
Last Update Date2007-07-08
Business Address
-- GINA LELALA MABEL PURCELL LCSW
750 NORTH 200 WEST
PROVO, UT 84601
Phone number: 801-373-4760
Mailing Address
-- GINA LELALA MABEL PURCELL LCSW
750 NORTH 200 WEST
PROVO, UT 84601
Phone number: 801-373-4760
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