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1720508781
LISA DAWN BISHOP
AMERICAN FORK, UT
NPI
1720508781
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: UT 9154009-3902)
Enumeration Date
2017-06-21
Last Update Date
2017-06-21
Business Address
LISA DAWN BISHOP LMFT
1062 E 220 S
AMERICAN FORK, UT 84003-5504
Phone number: 801-642-2193
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Mailing Address
LISA DAWN BISHOP LMFT
1497 S 620 W
PROVO, UT 84601-4801
Phone number: 503-438-5444
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