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1730785940
JACKIE Z ROCK LLC
SANDY, UT
NPI
1730785940
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Entity Type
Organization
Authorized Contact
JACKIE Z ROCK
Mental Health Counselor
801-448-7811
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-12-11
Last Update Date
2020-12-11
Business Address
JACKIE Z ROCK LLC
123 E MAIN ST
SANDY, UT 84070-1509
Phone number: 801-448-7811
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Mailing Address
JACKIE Z ROCK LLC
123 E MAIN ST
SANDY, UT 84070-1509
Phone number: 801-448-7811
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