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1982751301
SUSAN REYNOLDS
PROVO, UT
NPI
1982751301
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: UT 5101815-6004)
Enumeration Date
2007-01-05
Last Update Date
2009-11-21
Business Address
-- SUSAN REYNOLDS LPC
1190 N 900 E
PROVO, UT 84604-3536
Phone number: 801-422-7620
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Mailing Address
-- SUSAN REYNOLDS LPC
1190 N 900 E
PROVO, UT 84604-3536
Phone number: 801-422-7620
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