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1598115669
TYLER STARK
SANDY, UT
NPI
1598115669
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: UT 8598755-6004)
Enumeration Date
2016-06-20
Last Update Date
2016-06-20
Business Address
-- TYLER STARK LCMHC
11075 S STATE ST STE 16
SANDY, UT 84070-5196
Phone number: 801-948-0939
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Mailing Address
-- TYLER STARK LCMHC
11075 S STATE ST STE 16
SANDY, UT 84070-5196
Phone number: 801-948-0939
Copy
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