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1750598017
JUDY LUANA ERICKSON
PROVO, UT
NPI
1750598017
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: UT 6058161-3902)
Enumeration Date
2007-05-17
Last Update Date
2012-06-06
Business Address
Ms. JUDY LUANA ERICKSON MFT
1190 N 900 E
PROVO, UT 84604-3536
Phone number: 801-703-1154
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Mailing Address
Ms. JUDY LUANA ERICKSON MFT
1190 N 900 E
PROVO, UT 84604-3536
Phone number: 801-703-1154
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