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1265719876
SHAWN L HAZEN
SALT LAKE CITY, UT
NPI
1265719876
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 8678756-3501)
Enumeration Date
2011-11-10
Last Update Date
2016-09-13
Business Address
-- SHAWN L HAZEN LCSW
348 E 4500 S STE 360
SALT LAKE CITY, UT 84107-3906
Phone number: 385-272-4292
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Mailing Address
-- SHAWN L HAZEN LCSW
348 E 4500 S STE 360
SALT LAKE CITY, UT 84107-3906
Phone number: 385-272-4292
Copy
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