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1568595106
TRACY BERT ANDERSON
SALT LAKE CITY, UT
NPI
1568595106
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 1349383501)
Enumeration Date
2007-03-13
Last Update Date
2007-07-08
Business Address
Mr. TRACY BERT ANDERSON LCSW
5689 S REDWOOD RD # 30
SALT LAKE CITY, UT 84123-5322
Phone number: 801-359-4884
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Mailing Address
Mr. TRACY BERT ANDERSON LCSW
5689 S REDWOOD RD # 30
SALT LAKE CITY, UT 84123-5322
Phone number: 801-359-4884
Copy
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