MARK PERKINS

LOGAN, UT
NPI1154729721
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: UT  309942-6008)
Enumeration Date2014-12-15
Last Update Date2014-12-15
Business Address
-- MARK PERKINS
655 E 1300 N
LOGAN, UT 84341-2570
Phone number: 435-792-6491
Mailing Address
-- MARK PERKINS
655 E 1300 N
LOGAN, UT 84341-2570
Phone number: 435-792-6491
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