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1386966406
DOMINICK ANTONIO JEFFERIES
HOLLADAY, UT
NPI
1386966406
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 324500-3502)
Enumeration Date
2010-02-16
Last Update Date
2010-02-16
Business Address
-- DOMINICK ANTONIO JEFFERIES MSW, CSW
4609 S 2300 E
HOLLADAY, UT 84117-4527
Phone number: 801-461-9060
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Mailing Address
-- DOMINICK ANTONIO JEFFERIES MSW, CSW
406 N MAIN ST
BOUNTIFUL, UT 84010-6035
Phone number: 801-859-8999
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