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1023103538
MICHAEL K. FILLMORE
SANDY, UT
NPI
1023103538
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 4800488-3501)
Enumeration Date
2006-10-03
Last Update Date
2011-05-04
Business Address
Mr. MICHAEL K. FILLMORE LCSW
625 E 8400 S
SANDY, UT 84070-0525
Phone number: 801-566-2556
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Mailing Address
Mr. MICHAEL K. FILLMORE LCSW
625 E 8400 S
SANDY, UT 84070-0525
Phone number: 801-566-2556
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