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1518559814
SAMUEL HANSEN
SALT LAKE CITY, UT
NPI
1518559814
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2021-02-08
Last Update Date
2021-02-08
Business Address
SAMUEL HANSEN
4460 S HIGHLAND DR
SALT LAKE CITY, UT 84124-3543
Phone number: 888-949-4864
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Mailing Address
SAMUEL HANSEN
4460 S HIGHLAND DR
SALT LAKE CITY, UT 84124-3543
Phone number: 888-949-4864
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