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1174662282
SAM LESLIE FARRIS
SALT LAKE CITY, UT
NPI
1174662282
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: UT 6016166-6004)
Enumeration Date
2007-02-05
Last Update Date
2014-04-01
Business Address
Mr. SAM LESLIE FARRIS CMHC
411 N GRANT ST
SALT LAKE CITY, UT 84116-2725
Phone number: 801-359-8862
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Mailing Address
Mr. SAM LESLIE FARRIS CMHC
411 N GRANT ST PO BOX 16508
SALT LAKE CITY, UT 84116-2725
Phone number: 801-359-8862
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