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1720407398
CRYSTAL JEAN APPLEGATE
SOUTH JORDAN, UT
NPI
1720407398
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: UT 9838225-6004)
Enumeration Date
2014-04-10
Last Update Date
2017-03-20
Business Address
-- CRYSTAL JEAN APPLEGATE CMHC
1196 W SOUTH JORDAN PKWY STE D
SOUTH JORDAN, UT 84095-4603
Phone number: 801-702-0427
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Mailing Address
-- CRYSTAL JEAN APPLEGATE CMHC
11251 S STATE ST APT A207
SANDY, UT 84070-5163
Phone number: 801-702-0427
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