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1891207643
ALYSSA JANE BANFORD WITTING
PROVO, UT
NPI
1891207643
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: UT 8880108-3902)
Enumeration Date
2017-11-02
Last Update Date
2017-11-02
Business Address
Dr. ALYSSA JANE BANFORD WITTING PhD, LMFT
1190 N 900 E
PROVO, UT 84604-3536
Phone number: 801-422-6767
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Mailing Address
Dr. ALYSSA JANE BANFORD WITTING PhD, LMFT
1190 N 900 E
PROVO, UT 84604-3536
Phone number: 801-422-6767
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