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1982952610
WHITNEY THURGOOD ISRAELSEN
LOGAN, UT
NPI
1982952610
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: UT 8304623-3501)
Enumeration Date
2012-08-28
Last Update Date
2014-12-01
Business Address
WHITNEY THURGOOD ISRAELSEN
655 E 1300 N
LOGAN, UT 84341
Phone number: 435-792-6491
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Mailing Address
WHITNEY THURGOOD ISRAELSEN
655 E 1300 N
LOGAN, UT 84341
Phone number: 435-792-6491
Copy
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