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1023212644
TERRY R ROUTT
OREM, UT
NPI
1023212644
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 134709-3501)
Enumeration Date
2007-06-14
Last Update Date
2007-07-08
Business Address
-- TERRY R ROUTT LCSW
570 E 1400 S
OREM, UT 84097-7714
Phone number: 801-426-6661
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Mailing Address
-- TERRY R ROUTT LCSW
756 W 1150 S
PROVO, UT 84601-5542
Phone number: 801-371-0968
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