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1417404708
ANTHONY BAZA
SALT LAKE CITY, UT
NPI
1417404708
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 9433374-3502)
Enumeration Date
2016-09-05
Last Update Date
2016-09-05
Business Address
-- ANTHONY BAZA CSW
254 S 600 E STE 102
SALT LAKE CITY, UT 84102-2187
Phone number: 801-382-8259
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Mailing Address
-- ANTHONY BAZA CSW
254 S 600 E STE 102
SALT LAKE CITY, UT 84102-2187
Phone number: 801-382-8259
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