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1396971271
JARED D FERGUSON
SALT LAKE CITY, UT
NPI
1396971271
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 6160923-3502)
Enumeration Date
2009-06-04
Last Update Date
2013-01-08
Business Address
-- JARED D FERGUSON LCSW
411 N GRANT ST
SALT LAKE CITY, UT 84116-2725
Phone number: 801-359-8862
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Mailing Address
-- JARED D FERGUSON LCSW
4095 S OLYMPIC WAY
SALT LAKE CITY, UT 84124-2125
Phone number: 801-332-9253
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