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
—
—
Other
Enumeration date
10/16/2019
Last updated
12/23/2019
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