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1720668916
MARISSA J VAN NOY
DRAPER, UT
NPI
1720668916
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 11991316-3502)
Enumeration Date
2021-04-12
Last Update Date
2021-04-12
Business Address
MARISSA J VAN NOY
11620 S STATE ST STE 1404
DRAPER, UT 84020-7124
Phone number: 801-508-4150
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Mailing Address
MARISSA J VAN NOY
238 E ROCKWOOD WAY
TOOELE, UT 84074-5573
Phone number: 435-850-9708
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