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1154852507
WADE THOMSON
SALT LAKE CITY, UT
NPI
1154852507
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Entity Type
Organization
Authorized Contact
TRACY WADE THOMSON
Therapist
801-493-2100
Organization Subpart ?
Yes
Primary Taxonomy
253J00000X Foster Care Agency
Enumeration Date
2017-03-27
Last Update Date
2017-03-27
Business Address
WADE THOMSON
1363 S STATE ST STE 140
SALT LAKE CITY, UT 84115-5540
Phone number: 801-493-2100
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Mailing Address
WADE THOMSON
1363 S STATE ST STE 140
SALT LAKE CITY, UT 84115-5540
Phone number: 801-493-2100
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