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1649838863
JERICHO BRENT AVERY
LINDON, UT
NPI
1649838863
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 10395960-3502)
Enumeration Date
2019-06-03
Last Update Date
2023-01-12
Business Address
JERICHO BRENT AVERY CSW, CSUDC
20 S STATE ST
LINDON, UT 84042-1939
Phone number: 801-441-7144
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Mailing Address
JERICHO BRENT AVERY CSW, CSUDC
2214 E LOCH LOMOND DR
SARATOGA SPRINGS, UT 84043-3911
Phone number: 385-374-9708
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