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Organization
LIVE FOR LIFE ASPEN, LLC
Active
Organization
LIVE FOR LIFE ASPEN, LLC
Active
Other names
Live for Life Aspen
Organization subpart
No
Provider details
NPI number
Authorized official
TROY SHAW (EXECUTIVE DIRECTOR)
(801) 666-6834
Entity
Organization
Contact information
Practice address
179 W WINCHESTER ST, MURRAY, UT 84107-7237
(801) 666-6834
Mailing address
179 W WINCHESTER ST, MURRAY, UT 84107-7237
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/16/2019
Last updated
12/23/2019
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