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1669027702
JED RUSHFORTH
SALT LAKE CITY, UT
NPI
1669027702
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 6620938-3501)
Enumeration Date
2019-08-06
Last Update Date
2024-05-09
Business Address
JED RUSHFORTH LCSW
5770 S 1500 W
SALT LAKE CITY, UT 84123-5216
Phone number: 801-313-7770
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Mailing Address
JED RUSHFORTH LCSW
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number:
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