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1588984835
TY R. MANSFIELD
PROVO, UT
NPI
1588984835
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: UT 9808828-3902)
Enumeration Date
2010-06-09
Last Update Date
2016-06-06
Business Address
Mr. TY R. MANSFIELD MMFT, LMFT
667 N 1890 W
PROVO, UT 84601-1326
Phone number: 801-272-3420
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Mailing Address
Mr. TY R. MANSFIELD MMFT, LMFT
667 N 1890 W
PROVO, UT 84601-1326
Phone number: 801-272-3420
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