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1770890139
TANYA LEWELLEN RAY
SALT LAKE CITY, UT
NPI
1770890139
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Former Name
TANYA ALICIA LEWELLEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2010-09-07
Last Update Date
2010-09-07
Business Address
-- TANYA LEWELLEN RAY
660 S 200 E STE 308
SALT LAKE CITY, UT 84111-3853
Phone number: 801-355-1528
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Mailing Address
-- TANYA LEWELLEN RAY
660 S 200 E STE 308
SALT LAKE CITY, UT 84111-3853
Phone number:
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