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1679769277
HOLLY A JACKSON
SALT LAKE CITY, UT
NPI
1679769277
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-09-18
Last Update Date
2015-08-18
Business Address
-- HOLLY A JACKSON
5965 S 900 E
SALT LAKE CITY, UT 84121-1720
Phone number: 801-263-7138
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Mailing Address
-- HOLLY A JACKSON
5965 S 900 E
SALT LAKE CITY, UT 84121-1720
Phone number: 801-263-7138
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