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1508157439
TIMOTHY LEE CHAVEZ
LAYTON, UT
NPI
1508157439
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 8266913-3501)
Enumeration Date
2011-04-26
Last Update Date
2016-06-29
Business Address
-- TIMOTHY LEE CHAVEZ
934 S MAIN ST
LAYTON, UT 84041-7135
Phone number: 801-733-7060
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Mailing Address
-- TIMOTHY LEE CHAVEZ
934 S MAIN ST
LAYTON, UT 84041-7135
Phone number: 801-733-7060
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