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1174599393
JERRY L BUIE
SALT LAKE CITY, UT
NPI
1174599393
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 140182-3501)
Enumeration Date
2006-02-27
Last Update Date
2023-11-28
Business Address
JERRY L BUIE LCSW
1174 E GRAYSTONE WAY STE 20E
SALT LAKE CITY, UT 84106-2678
Phone number: 801-595-0666
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Mailing Address
JERRY L BUIE LCSW
1174 E GRAYSTONE WAY STE 20E
SALT LAKE CITY, UT 84106-2678
Phone number: 801-595-0666
Copy
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