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Organization
GRACEFUL GROWTH CLINIC LLC
Active
Organization
GRACEFUL GROWTH CLINIC LLC
Active
Other names
Graceful Growth Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MIRIAM BUELL LCMHC (LCMHC/OWNER)
(385) 409-0363
Entity
Organization
Contact information
Practice address
66 W VINE ST STE 6, TOOELE, UT 84074-2185
(801) 928-8980
Mailing address
657 E 980 N, TOOELE, UT 84074-9833
(801) 928-8980
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/28/2024
Last updated
07/10/2024
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