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1912316662
JAMIE MACIAS
BRIGHAM CITY, UT
NPI
1912316662
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2014-08-07
Last Update Date
2014-08-07
Business Address
-- JAMIE MACIAS
862 N MAIN STREET SUITE 4
BRIGHAM CITY, UT 84302
Phone number: 435-723-1799
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Mailing Address
-- JAMIE MACIAS
862 N MAIN STREET SUITE 4
BRIGHAM CITY, UT 84302
Phone number: 435-723-1799
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