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1356767388
KEN C MCCAULEY
WEST JORDAN, UT
NPI
1356767388
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: UT 357503-6004)
Enumeration Date
2014-03-14
Last Update Date
2014-03-14
Business Address
-- KEN C MCCAULEY CMHC
5454 BALSA AVENUE
WEST JORDAN, UT 84081
Phone number: 801-428-9043
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Mailing Address
-- KEN C MCCAULEY CMHC
5454 BALSA AVENUE
WEST JORDAN, UT 84081
Phone number: 801-428-9043
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