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1871006205
JENNIFER MAKIN
PROVO, UT
NPI
1871006205
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: UT 63259576004)
Enumeration Date
2017-11-07
Last Update Date
2017-11-07
Business Address
JENNIFER MAKIN CMHC
1190 N 900 E
PROVO, UT 84604-3536
Phone number: 801-422-7620
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Mailing Address
JENNIFER MAKIN CMHC
1486 E 880 N
OREM, UT 84097-5413
Phone number: 801-822-4739
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