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1861910549
NICOLE SHAW
COTTONWOOD HEIGHTS, UT
NPI
1861910549
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: UT 10403016-3502)
Enumeration Date
2017-09-01
Last Update Date
2018-03-17
Business Address
NICOLE SHAW
2450 E FORT UNION BLVD
COTTONWOOD HEIGHTS, UT 84121-3337
Phone number: 801-669-5888
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Mailing Address
NICOLE SHAW
1003 W ROOFTOP DR
MIDVALE, UT 84047-4805
Phone number: 703-732-4531
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