Diane G Van Wagoner
Mental Health in Salt Lake City, UT

License number
Utah 332660-6009
Issued Date
Jun 28, 2006
Expiration Date
Jun 28, 2009
Category
Clinical Mental Health
Type
Assoc Clinical Mental Health Counselor
Address
Address
Salt Lake City, UT
Education
UNIVERSITY OF PHOENIX, Jul 7, 2004
LicenseFiles verified this license of Dec 14, 2016 at the Utah Division of Occupational and Professional Licensing.

Personal information

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Name
Address
Phone
Diane Van
PO Box 1904, Vernal, UT 84078
(435) 790-7044
Diane A Van, age 79
2193 Hugo Ave, Salt Lake City, UT 84117
(801) 272-0365
Diane A Van, age 79
2193 Hugo Ave, Salt Lake City, UT 84117
(801) 272-0365

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