ILLUMINATE AND EVOLVE THERAPY

SALT LAKE CITY, UT
NPI1932868528
Entity TypeOrganization
Authorized ContactMONA LISA CHAVEZ ESQUEDA
Owner/Operator
801-633-6579
Organization Subpart ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
Enumeration Date2021-12-11
Last Update Date2021-12-11
Business Address
ILLUMINATE AND EVOLVE THERAPY
3435 S BROOK VIEW LN
SALT LAKE CITY, UT 84106-1593
Phone number: 801-633-6579
Mailing Address
ILLUMINATE AND EVOLVE THERAPY
3435 S BROOK VIEW LN
SALT LAKE CITY, UT 84106-1593
Phone number: 801-633-6579
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