MADILYN STAR JOHANSEN

HERRIMAN, UT
NPI1881162139
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Additional Taxonomies172V00000X Community Health Worker
Enumeration Date2018-11-05
Last Update Date2018-11-05
Business Address
MADILYN STAR JOHANSEN
13947 S NEWBURG DR
HERRIMAN, UT 84096-6787
Phone number: 801-506-6695
Mailing Address
MADILYN STAR JOHANSEN
13947 S NEWBURG DR
HERRIMAN, UT 84096-6787
Phone number:
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