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1154592590
KERRY MAX PARK
AMERICAN FORK, UT
NPI
1154592590
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: UT 126677-3902)
Enumeration Date
2008-03-13
Last Update Date
2016-02-04
Business Address
KERRY MAX PARK LMFT
21 N 490 W
AMERICAN FORK, UT 84003-2264
Phone number: 801-592-7876
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Mailing Address
KERRY MAX PARK LMFT
21 N 490 W
AMERICAN FORK, UT 84003-2264
Phone number: 801-592-7876
Copy
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