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1629708094
RETA WHALEN
LOGAN, UT
NPI
1629708094
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 11730968-3502)
Enumeration Date
2022-06-16
Last Update Date
2024-10-22
Business Address
RETA WHALEN LCSW
115 GOLF COURSE RD STE 115
LOGAN, UT 84321-7704
Phone number: 801-885-4431
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Mailing Address
RETA WHALEN LCSW
115 GOLF COURSE RD STE 1155888
LOGAN, UT 84321-7704
Phone number: 801-885-4431
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