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1316088586
CRAIG W BERTHOLD
BOUNTIFUL, UT
NPI
1316088586
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 120978-3501)
Enumeration Date
2007-02-09
Last Update Date
2007-07-08
Business Address
Mr. CRAIG W BERTHOLD L.C.S.W.
415 MEDICAL DR SUITE C100
BOUNTIFUL, UT 84010-4946
Phone number: 801-292-2389
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Mailing Address
Mr. CRAIG W BERTHOLD L.C.S.W.
415 MEDICAL DR SUITE C100
BOUNTIFUL, UT 84010-4946
Phone number: 801-292-2389
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