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1639190192
DOUGLAS NIELSEN RICH
SALT LAKE CITY, UT
NPI
1639190192
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 1169553501)
Enumeration Date
2006-07-21
Last Update Date
2007-10-17
Business Address
-- DOUGLAS NIELSEN RICH LCSW
400 D ST STE 206
SALT LAKE CITY, UT 84143-0001
Phone number: 801-265-3087
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Mailing Address
-- DOUGLAS NIELSEN RICH LCSW
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-265-3087
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