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1245605336
EDWARD JOHN KOVACS
SLC, UT
NPI
1245605336
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NV 01433 - Intern)
Enumeration Date
2015-12-01
Last Update Date
2015-12-01
Business Address
Mr. EDWARD JOHN KOVACS CADC-Intern
344 E 100 S STE 301
SLC, UT 84111-1727
Phone number: 801-322-4257
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Mailing Address
Mr. EDWARD JOHN KOVACS CADC-Intern
5800 VEGAS DR
LAS VEGAS, NV 89108-2468
Phone number: 702-724-4276
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