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1053717553
JOSEPH CRISWELL
WEST JORDAN, UT
NPI
1053717553
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-11-10
Last Update Date
2014-11-10
Business Address
-- JOSEPH CRISWELL
7601 S REDWOOD RD BLDG E
WEST JORDAN, UT 84084-4007
Phone number: 801-233-8670
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Mailing Address
-- JOSEPH CRISWELL
7601 S REDWOOD RD BLDG E
WEST JORDAN, UT 84084-4007
Phone number: 801-223-8670
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