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1023536935
PORTER MACEY
SALT LAKE CITY, UT
NPI
1023536935
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: UT 10418270-3904)
Enumeration Date
2017-08-31
Last Update Date
2017-08-31
Business Address
PORTER MACEY
150 E 700 S
SALT LAKE CITY, UT 84111-3806
Phone number: 801-364-8080
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Mailing Address
PORTER MACEY
150 E 700 S
SALT LAKE CITY, UT 84111-3806
Phone number: 801-364-8080
Copy
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