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1992815138
ALIVIA TESS IRWIN
BOUNTIFUL, UT
NPI
1992815138
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: UT 377869 3501)
Enumeration Date
2006-08-30
Last Update Date
2019-10-18
Business Address
ALIVIA TESS IRWIN LCSW
380 N 200 W STE 206
BOUNTIFUL, UT 84010
Phone number: 801-447-1392
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Mailing Address
ALIVIA TESS IRWIN LCSW
1832 JERI DR
BOUNTIFUL, UT 84010-5316
Phone number: 801-647-3119
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