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1487819298
TIMOTHY M CARR
PROVO, UT
NPI
1487819298
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 375233-3501)
Enumeration Date
2008-07-21
Last Update Date
2008-07-21
Business Address
-- TIMOTHY M CARR MSW, LCSW
1300 EAST CENTER STREET UTAH STATE HOSPITAL
PROVO, UT 84603
Phone number: 801-344-4358
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Mailing Address
-- TIMOTHY M CARR MSW, LCSW
PO BOX 270 UTAH STATE HOSPITAL
PROVO, UT 84603
Phone number: 801-344-4358
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