MICHAEL RUTLEDGE RIQUINO

PROVO, UT
NPI1568737344
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: UT  7990850-3502)
Enumeration Date2012-03-13
Last Update Date2012-03-13
Business Address
MICHAEL RUTLEDGE RIQUINO CSW
750 N 200 W
PROVO, UT 84601-1677
Phone number: 801-373-4760
Mailing Address
MICHAEL RUTLEDGE RIQUINO CSW
750 NORTH 200 WEST
PROVO, UT 84601
Phone number: 801-373-4760
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