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1407002512
ENRIQUE AUGUSTO VELASQUEZ
WEST JORDAN, UT
NPI
1407002512
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 133485-3501)
Enumeration Date
2008-08-09
Last Update Date
2008-08-09
Business Address
-- ENRIQUE AUGUSTO VELASQUEZ L.C.S.W.
8541 S REDWOOD RD BLDG A
WEST JORDAN, UT 84088-9327
Phone number: 801-233-8670
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Mailing Address
-- ENRIQUE AUGUSTO VELASQUEZ L.C.S.W.
775 E 1500 S
BOUNTIFUL, UT 84010-2134
Phone number: 801-643-1640
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