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1780962464
JACKIE Z ROCK
SANDY, UT
NPI
1780962464
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Former Name
JACKIE Z PAZOOKI
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: UT 5886956-6004)
Enumeration Date
2011-07-28
Last Update Date
2014-04-04
Business Address
JACKIE Z ROCK LCMHC
123 E MAIN ST
SANDY, UT 84070
Phone number: 801-448-7811
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Mailing Address
JACKIE Z ROCK LCMHC
123 E MAIN ST
SANDY, UT 84070
Phone number: 801-448-7811
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