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Individual

MRS. PAMALA DIANE ROSKELLEY-JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
150 S 600 E, SUITE 1C, SALT LAKE CITY, UT 84102-1999
(801) 808-1616
(801) 486-1113
Mailing address
1116 KENSINGTON AVE, SALT LAKE CITY, UT 84105-2536
(801) 808-1616
(801) 486-1113

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
367557-6004
UT

Other

Enumeration date
11/02/2006
Last updated
04/04/2008
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