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1326534199
SAMUEL THOMAS FOX
WEST JORDAN, UT
NPI
1326534199
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-07-05
Last Update Date
2018-07-05
Business Address
Mr. SAMUEL THOMAS FOX CSUDC
7601 S REDWOOD RD
WEST JORDAN, UT 84084-4007
Phone number: 801-233-8670
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Mailing Address
Mr. SAMUEL THOMAS FOX CSUDC
7601 S REDWOOD RD
WEST JORDAN, UT 84084-4007
Phone number: 801-233-8670
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