MICHAEL LEE VAN DAM

CENTERVILLE, UT
NPI1386729994
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  5199130-3501)
Enumeration Date2006-10-25
Last Update Date2009-06-23
Business Address
-- MICHAEL LEE VAN DAM LCSW
94 E PAGES LN SUITE A
CENTERVILLE, UT 84014-2216
Phone number: 801-294-0578
Mailing Address
-- MICHAEL LEE VAN DAM LCSW
94 E PAGES LN SUITE A
CENTERVILLE, UT 84014-2216
Phone number: 801-294-0578
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