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1174575039
LYNN H JORGENSEN
SALT LAKE CITY, UT
NPI
1174575039
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 120651-3501)
Enumeration Date
2006-05-17
Last Update Date
2007-07-08
Business Address
Mr. LYNN H JORGENSEN LCSW
500 FOOTHILL DR
SALT LAKE CITY, UT 84148-0001
Phone number: 801-582-1565
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Mailing Address
Mr. LYNN H JORGENSEN LCSW
4552 WEDGEWOOD DR
PLEASANT GROVE, UT 84062-8746
Phone number: 801-582-1565
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