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1104647528
JUSTIN WILLIAM BENSON
SALT LAKE CITY, UT
NPI
1104647528
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 14156106-3502)
Enumeration Date
2024-10-18
Last Update Date
2024-10-18
Business Address
JUSTIN WILLIAM BENSON
501 S CHIPETA WAY
SALT LAKE CITY, UT 84108-1222
Phone number: 801-674-8923
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Mailing Address
JUSTIN WILLIAM BENSON
8933 S COBBLEGATE DR UNIT 202
SANDY, UT 84094-7762
Phone number:
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