RUDY JOHANSEN

SALT LAKE CITY, UT
NPI1255382610
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: UT  134481-3501)
Enumeration Date2006-05-12
Last Update Date2007-07-08
Business Address
RUDY JOHANSEN LCSW
500 FOOTHILL DR 116HO
SALT LAKE CITY, UT 84148-0001
Phone number: 801-582-1565
Mailing Address
RUDY JOHANSEN LCSW
1470 S 235 W
OREM, UT 84058-7370
Phone number: 801-225-3532
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