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Individual

ANGELA L POBANZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, CMHC

Contact information

Practice address
1407 N 2000 W STE A, CLINTON, UT 84015-8563
(434) 258-3635
Mailing address
5858 WILLOW BEND RD, MOUNTAIN GREEN, UT 84050-8725
(434) 258-3635

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
9681359-6004
UT

Other

Enumeration date
12/04/2019
Last updated
12/04/2019
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