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1336849017
EDWARD LAWRENCE JOONG SHIN
OREM, UT
NPI
1336849017
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: UT 12675017-3904)
Enumeration Date
2023-03-09
Last Update Date
2023-03-09
Business Address
EDWARD LAWRENCE JOONG SHIN AMFT
485 W 1400 N STE 10
OREM, UT 84057-7000
Phone number: 801-438-4045
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Mailing Address
EDWARD LAWRENCE JOONG SHIN AMFT
1538 S 175 E
OREM, UT 84058-7694
Phone number: 949-295-3964
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