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1750014866
MARY MALISSA ERRAZO
LINDON, UT
NPI
1750014866
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: UT 7829953-6009)
Enumeration Date
2022-07-06
Last Update Date
2022-07-06
Business Address
MARY MALISSA ERRAZO
20 S STATE ST
LINDON, UT 84042-1939
Phone number: 801-441-7144
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Mailing Address
MARY MALISSA ERRAZO
20 S STATE ST
LINDON, UT 84042-1939
Phone number: 385-455-9146
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