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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

Other

Enumeration date
06/28/2024
Last updated
07/10/2024
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