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1659454866
JONATHAN KEITH BEARD
VERNAL, UT
NPI
1659454866
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 364940-3501)
Enumeration Date
2006-10-23
Last Update Date
2007-07-08
Business Address
-- JONATHAN KEITH BEARD LCSW
1140 W 500 S
VERNAL, UT 84078-2914
Phone number: 435-789-6300
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Mailing Address
-- JONATHAN KEITH BEARD LCSW
595 W 250 S
VERNAL, UT 84078-3017
Phone number: 435-789-6300
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