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1770785735
OLIVIA CARSON
PROVO, UT
NPI
1770785735
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC2200X Psychologist, Clinical Child & Adolescent
(Licence: UT 7417679-2504)
Enumeration Date
2007-06-01
Last Update Date
2011-02-22
Business Address
-- OLIVIA CARSON PsyD
1165 E 300 N
PROVO, UT 84606-3539
Phone number: 801-377-1213
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Mailing Address
-- OLIVIA CARSON PsyD
750 N 200 W STE 300
PROVO, UT 84601-1690
Phone number: 801-373-4760
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