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Individual

MS. VERONICA MALENCIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1764 W ASPEN LANE, LOA, UT 84747
(435) 836-2272
Mailing address
520 N ASPEN ROAD, LOA, UT 84747

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11511529-6009
UT

Other

Enumeration date
11/25/2019
Last updated
11/25/2019
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