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Organization

A COURAGEOUS LIFE COUNSELING, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JULIA SICKLES L.C.S.W. (OWNER/THERAPIST)
(435) 248-2325
Entity
Organization

Contact information

Practice address
3409 W 12600 S STE 230, RIVERTON, UT 84065-7270
(435) 248-2325
Mailing address
3409 W 12600 S STE 230, RIVERTON, UT 84065-7270
(435) 248-2325

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9452890-3501
UT

Other

Enumeration date
02/04/2016
Last updated
02/04/2016
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