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Individual

MISS AIMEE DASSELE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, LAC

Contact information

Practice address
145 E 1300 S, SUITE 107, SALT LAKE CITY, UT 84115-5482
(801) 783-1950
(801) 953-0147
Mailing address
4016 N BLACK CANYON HWY, PHOENIX, AZ 85017-4730
(602) 712-0234
(602) 712-0235

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LAC-15184
AZ

Other

Enumeration date
01/04/2017
Last updated
01/04/2017
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