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1487123816
JACOB VON STUCKI
MURRAY, UT
NPI
1487123816
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 117820163502)
Enumeration Date
2018-11-14
Last Update Date
2022-12-06
Business Address
JACOB VON STUCKI LCSW
5284 S COMMERCE DR STE C134
MURRAY, UT 84107-5360
Phone number: 801-266-4643
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Mailing Address
JACOB VON STUCKI LCSW
756 E 500 S
SALT LAKE CITY, UT 84102-2906
Phone number: 435-590-0116
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