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1851604276
ALISA ERICKSON
PROVO, UT
NPI
1851604276
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2010-07-15
Last Update Date
2022-05-17
Business Address
Miss ALISA ERICKSON
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 801-373-4760
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Mailing Address
Miss ALISA ERICKSON
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 801-373-4760
Copy
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