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1194077834
MIKE J PICKETT
PLEASANT GROVE, UT
NPI
1194077834
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 5683720-3502)
Enumeration Date
2012-10-04
Last Update Date
2012-10-04
Business Address
-- MIKE J PICKETT CSW
457 E 1000 S
PLEASANT GROVE, UT 84062-3623
Phone number: 801-785-3735
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Mailing Address
-- MIKE J PICKETT CSW
457 E 1000 S
PLEASANT GROVE, UT 84062-3623
Phone number: 801-785-3735
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