JUSTIN DEAN GOUGH

TAYLORSVILLE, UT
NPI1578825519
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: UT  289038-6004)
Enumeration Date2012-06-14
Last Update Date2012-06-14
Business Address
-- JUSTIN DEAN GOUGH
2904 MIDWEST DR
TAYLORSVILLE, UT 84129-2555
Phone number: 801-963-0783
Mailing Address
-- JUSTIN DEAN GOUGH
2904 MIDWEST DR
TAYLORSVILLE, UT 84129-2555
Phone number:
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