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1487814018
DAVID SCOTT DEREZOTES
SALT LAKE CITY, UT
NPI
1487814018
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 1381923501)
Enumeration Date
2008-06-17
Last Update Date
2008-06-17
Business Address
Dr. DAVID SCOTT DEREZOTES LCSW, PhD
3669 OAKVIEW DR
SALT LAKE CITY, UT 84124-3327
Phone number: 801-585-3546
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Mailing Address
Dr. DAVID SCOTT DEREZOTES LCSW, PhD
3669 OAKVIEW DR
SALT LAKE CITY, UT 84124-3327
Phone number: 801-585-3546
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