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1861942864
HOLLY PACK SQUIRES
SOUTH JORDAN, UT
NPI
1861942864
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: UT 9162614-3902)
Enumeration Date
2016-10-13
Last Update Date
2016-10-13
Business Address
-- HOLLY PACK SQUIRES LMFT
1258 W SOUTH JORDAN PKWY SUITE 202
SOUTH JORDAN, UT 84095-4711
Phone number: 801-255-1155
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Mailing Address
-- HOLLY PACK SQUIRES LMFT
1258 W SOUTH JORDAN PKWY SUITE 202
SOUTH JORDAN, UT 84095-4711
Phone number: 801-255-1155
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