RICKIE LEE JORGENSEN

CEDAR CITY, UT
NPI1134554322
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2013-09-06
Last Update Date2013-09-06
Business Address
-- RICKIE LEE JORGENSEN
363 N FOOTHILL DR
CEDAR CITY, UT 84721-4005
Phone number: 435-669-3629
Mailing Address
-- RICKIE LEE JORGENSEN
363 N FOOTHILL DR
CEDAR CITY, UT 84721-4005
Phone number:
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