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1871938134
CARISSA THURMAN
PROVO, UT
NPI
1871938134
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Former Name
CARISSA FRIEDMAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 9397978-3502)
Enumeration Date
2013-04-30
Last Update Date
2019-04-03
Business Address
CARISSA THURMAN
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 801-373-4760
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Mailing Address
CARISSA THURMAN
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number:
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