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1104223593
JEREMIAH SOUTHWORTH
PROVO, UT
NPI
1104223593
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
175T00000X Peer Specialist
Enumeration Date
2014-12-01
Last Update Date
2020-05-07
Business Address
JEREMIAH SOUTHWORTH
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 801-373-4760
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Mailing Address
JEREMIAH SOUTHWORTH
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 801-373-4760
Copy
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