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Individual

LAIYAN H BAWADEEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1425 700 E SUITE #102, SALT LAKE CITY, UT 84105
(385) 313-0055
Mailing address
1482 UNIVERSITY VLG, SALT LAKE CITY, UT 84108-3519
(385) 238-9782

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
12/31/2018
Last updated
12/31/2018
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