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1780890939
THERESA ELLEN YOUNG
PROVO, UT
NPI
1780890939
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 5206693-3501)
Enumeration Date
2007-05-15
Last Update Date
2020-06-10
Business Address
THERESA ELLEN YOUNG LCSW
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 801-373-4760
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Mailing Address
THERESA ELLEN YOUNG LCSW
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 801-373-4760
Copy
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