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Individual

ALLISON R JANSSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BS, RBT

Contact information

Practice address
5160 SUNSET LN, SOUTH OGDEN, UT 84403-4230
(801) 935-5796
Mailing address
358 N GATEWAY DR, UNIT 336, PROVIDENCE, UT 84332-9840
(920) 851-9883

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary

Other

Enumeration date
08/26/2015
Last updated
01/06/2017
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