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Individual

ANNELISE ALLEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4516 S 700 E STE 170, MURRAY, UT 84107-8320
(801) 702-0834
Mailing address
4516 S 700 E STE 170, MURRAY, UT 84107-8320
(801) 702-0834

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
Primary
11336132-6009
UT

Other

Enumeration date
01/12/2016
Last updated
07/16/2025
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