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1013945203
MICHAEL THOMAS STEVENSON
SALT LAKE CITY, UT
NPI
1013945203
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MT 133)
Enumeration Date
2006-06-28
Last Update Date
2007-07-08
Business Address
Mr. MICHAEL THOMAS STEVENSON LCSW
500 FOOTHILL DR
SALT LAKE CITY, UT 84148-0001
Phone number: 801-582-1565
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Mailing Address
Mr. MICHAEL THOMAS STEVENSON LCSW
979 HOLLYWOOD AVE
SALT LAKE CITY, UT 84105-3347
Phone number: 801-582-1565
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