SAMUEL JACOB HANSEN

PROVO, UT
NPI1518559814
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  7477111-3501)
Enumeration Date2021-02-08
Last Update Date2026-07-29
Business Address
SAMUEL JACOB HANSEN
580 E 600 S
PROVO, UT 84606-4854
Phone number: 801-852-1624
Mailing Address
SAMUEL JACOB HANSEN
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number:
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