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1093111999
JERRY REDD
PLEASANT GROVE, UT
NPI
1093111999
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: UT 55044786004)
Enumeration Date
2014-11-05
Last Update Date
2014-11-05
Business Address
Dr. JERRY REDD PhD, CMHC
1364 W STATE RD SUITE 204
PLEASANT GROVE, UT 84062-4109
Phone number: 801-785-8885
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Mailing Address
Dr. JERRY REDD PhD, CMHC
1364 W STATE RD SUITE 204
PLEASANT GROVE, UT 84062-4109
Phone number: 801-785-8885
Copy
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