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1295459485
SAMUEL ROBERT STORK
SALT LAKE CITY, UT
NPI
1295459485
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: UT 12453627-2501)
Enumeration Date
2022-09-30
Last Update Date
2022-09-30
Business Address
Dr. SAMUEL ROBERT STORK Psy.D
500 FOOTHILL DR
SALT LAKE CITY, UT 84148-0001
Phone number: 801-582-1565
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Mailing Address
Dr. SAMUEL ROBERT STORK Psy.D
7198 S NUTREE DR
COTTONWOOD HEIGHTS, UT 84121-4427
Phone number: 614-634-6603
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