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1427698687
KENNETH THOMAS FATKIN
ST GEORGE, UT
NPI
1427698687
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: UT 11593493-3902)
Enumeration Date
2020-01-15
Last Update Date
2023-07-21
Business Address
KENNETH THOMAS FATKIN AMFT
393 E RIVERSIDE DR STE 3A
ST GEORGE, UT 84790-7127
Phone number: 435-688-2123
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Mailing Address
KENNETH THOMAS FATKIN AMFT
PO BOX 50207
PROVO, UT 84605-0207
Phone number: 801-407-4134
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