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1467199000
JARED BENWARE
SOUTH SALT LAKE, UT
NPI
1467199000
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TS0200X Psychologist, School
(Licence: UT 563424)
Enumeration Date
2022-05-16
Last Update Date
2022-08-05
Business Address
JARED BENWARE Ed.S.
2500 S STATE ST
SOUTH SALT LAKE, UT 84115-3164
Phone number: 385-646-5000
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Mailing Address
JARED BENWARE Ed.S.
2500 S STATE ST
SOUTH SALT LAKE, UT 84115-3164
Phone number: 385-646-0150
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