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1083313746
DEREK DAVID BARRIENTOS
PROVO, UT
NPI
1083313746
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 129002893502)
Enumeration Date
2023-03-01
Last Update Date
2023-03-01
Business Address
Mr. DEREK DAVID BARRIENTOS CSW
151 E 1700 S
PROVO, UT 84606-7322
Phone number: 801-357-0754
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Mailing Address
Mr. DEREK DAVID BARRIENTOS CSW
477 W 1200 S
OREM, UT 84058-6772
Phone number: 501-213-8810
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