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1417456401
BRENT KEELER SHUSTER
SALT LAKE CITY, UT
NPI
1417456401
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: UT 11226387-6004)
Enumeration Date
2018-02-06
Last Update Date
2022-03-21
Business Address
BRENT KEELER SHUSTER ACMHC
3556 S 5600 W # 1-472
SALT LAKE CITY, UT 84120-2815
Phone number: 801-210-9443
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Mailing Address
BRENT KEELER SHUSTER ACMHC
111 E 5600 S STE 304
MURRAY, UT 84107-8174
Phone number: 801-210-9443
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