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1235574997
JONATHAN M CASE
PROVO, UT
NPI
1235574997
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 8960489-3501)
Enumeration Date
2013-05-07
Last Update Date
2021-02-04
Business Address
Mr. JONATHAN M CASE LCSW
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 801-373-4760
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Mailing Address
Mr. JONATHAN M CASE LCSW
87 S 1030 E
SANTAQUIN, UT 84655-5698
Phone number: 801-859-8832
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