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1881150126
SHANNON BROOKE GRIZZLE
WEST VALLEY CITY, UT
NPI
1881150126
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: UT 9663252-3502)
Enumeration Date
2019-02-12
Last Update Date
2019-02-12
Business Address
SHANNON BROOKE GRIZZLE CSW
4052 W PIONEER PKWY
WEST VALLEY CITY, UT 84120-2062
Phone number: 801-964-3111
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Mailing Address
SHANNON BROOKE GRIZZLE CSW
4052 W PIONEER PKWY
WEST VALLEY CITY, UT 84120-2062
Phone number:
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