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1194252619
MARK BRIAN ANDERSON
LOGAN, UT
NPI
1194252619
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 8238610-3501)
Enumeration Date
2017-05-15
Last Update Date
2022-07-21
Business Address
-- MARK BRIAN ANDERSON LCSW
90 E 200 N
LOGAN, UT 84321-4034
Phone number: 435-752-0750
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Mailing Address
-- MARK BRIAN ANDERSON LCSW
90 E 200 N
LOGAN, UT 84321-4034
Phone number: 435-752-0750
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