DALLAS BEAN

PROVO, UT
NPI1013215599
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  89496483501)
Enumeration Date2011-03-07
Last Update Date2017-02-21
Business Address
-- DALLAS BEAN
750 N 200 W STE 300
PROVO, UT 84601-1690
Phone number: 801-373-4760
Mailing Address
-- DALLAS BEAN
750 N 200 W STE 300
PROVO, UT 84601-1690
Phone number: 801-373-4760
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