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1750679122
PAMELA DIANE HUCKABY
BRIGHAM CITY, UT
NPI
1750679122
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Former Name
PAMELA DIANE LEAVENWORTH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 10387650-3501)
Enumeration Date
2011-07-19
Last Update Date
2019-04-29
Business Address
PAMELA DIANE HUCKABY LCSW
663 W 950 S
BRIGHAM CITY, UT 84302-3021
Phone number: 435-734-9449
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Mailing Address
PAMELA DIANE HUCKABY LCSW
663 W 950 S
BRIGHAM CITY, UT 84302-3021
Phone number: 435-734-9449
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