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1154984839
ADAM NISENSON
SALT LAKE CITY, UT
NPI
1154984839
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC1900X Psychologist, Counseling
(Licence: UT 10312526-3904)
Enumeration Date
2019-04-17
Last Update Date
2019-04-17
Business Address
ADAM NISENSON
4505 S WASATCH BLVD STE 290
SALT LAKE CITY, UT 84124-4204
Phone number: 385-695-5949
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Mailing Address
ADAM NISENSON
2521 S PARK ST
SALT LAKE CITY, UT 84106-1307
Phone number: 713-256-8033
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