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1427355650
WADE POULSEN
SALT LAKE CITY, UT
NPI
1427355650
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: UT 7966792-6004)
Enumeration Date
2011-02-24
Last Update Date
2014-07-14
Business Address
Mr. WADE POULSEN
145 E 1300 S SUITE 501
SALT LAKE CITY, UT 84115-5482
Phone number: 385-468-3559
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Mailing Address
Mr. WADE POULSEN
145 E 1300 S SUITE 501
SALT LAKE CITY, UT 84115-5482
Phone number: 385-468-3559
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