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1396719852
MARK JARDINE
SALT LAKE CITY, UT
NPI
1396719852
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 911331923501)
Enumeration Date
2006-02-13
Last Update Date
2007-07-09
Business Address
-- MARK JARDINE lcsw
1020 S MAIN ST SUITE 300
SALT LAKE CITY, UT 84101-3176
Phone number: 801-536-6523
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Mailing Address
-- MARK JARDINE lcsw
2629 STRINGHAM AVE APT. B310
SALT LAKE CITY, UT 84109-3967
Phone number: 801-487-0309
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