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1487973863
SHANE MAYLIN PITCHER
SALT LAKE CITY, UT
NPI
1487973863
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 7036797-3502)
Enumeration Date
2010-05-24
Last Update Date
2020-12-18
Business Address
Mr. SHANE MAYLIN PITCHER LCSW
645 S 1300 E
SALT LAKE CITY, UT 84102-3206
Phone number: 385-227-8565
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Mailing Address
Mr. SHANE MAYLIN PITCHER LCSW
5626 VISTA RIDGE WAY
KEARNS, UT 84118-9354
Phone number: 801-894-8548
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