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Individual

MAKAYLA DUSCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ED.S., LPCI

Contact information

Practice address
314 W BROADWAY STE 222, SALT LAKE CITY, UT 84101-2038
(814) 761-7041
Mailing address
8455 S IVY GABLE DR, WEST JORDAN, UT 84081-5068
(814) 761-7041

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103TS0200X
School Psychologist
Primary

Other

Enumeration date
01/01/2024
Last updated
01/01/2024
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