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Individual

JAIME LEE HOUSKEEPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
750 N FREEDOM BLVD, PROVO, UT 84601-1677
(801) 852-4760
Mailing address
13648 S 2860 W, RIVERTON, UT 84065-5925
(801) 910-9485

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
8091994-2501
UT

Other

Enumeration date
12/21/2010
Last updated
05/05/2023
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