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1992531883
MADISON WALLER
TAYLORSVILLE, UT
NPI
1992531883
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: UT 14153492-6006)
Enumeration Date
2024-09-09
Last Update Date
2024-09-09
Business Address
MADISON WALLER
3809 W 6200 S
TAYLORSVILLE, UT 84129-3725
Phone number: 801-963-4360
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Mailing Address
MADISON WALLER
3725 W 4100 S STE 201
WEST VALLEY CITY, UT 84120-5427
Phone number:
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