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Individual

JANICE MARIE SPEICHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, LPC

Contact information

Practice address
1777 SUN PEAK DR, SUITE 140-H, PARK CITY, UT 84098-6725
(435) 640-3966
Mailing address
PO BOX 981145, 1777 SUN PEAK DRIVE, SUITE 140-H, PARK CITY, UT 84098-1145
(435) 640-3966

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
120742-6004
UT

Other

Enumeration date
02/14/2007
Last updated
03/03/2010
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