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1124127766
LARRY KAY JACOBSON
OGDEN, UT
NPI
1124127766
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: UT 1221526004)
Enumeration Date
2006-09-21
Last Update Date
2007-07-08
Business Address
Mr. LARRY KAY JACOBSON LPC NCC
3500 HARRISON BLVD SUITE 105
OGDEN, UT 84403-2058
Phone number: 801-725-4422
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Mailing Address
Mr. LARRY KAY JACOBSON LPC NCC
440 EAST 3050 NORTH
NORTH OGDEN, UT 84414-1936
Phone number: 801-782-8129
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