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1194920991
TAB L UNO
OGDEN, UT
NPI
1194920991
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 52063683501)
Enumeration Date
2007-06-20
Last Update Date
2007-12-12
Business Address
-- TAB L UNO L.C.S.W.
3518 WASHINGTON BLVD
OGDEN, UT 84403-1034
Phone number: 801-399-1600
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Mailing Address
-- TAB L UNO L.C.S.W.
46 S 1050 W
CLEARFIELD, UT 84015-8773
Phone number: 801-776-9107
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