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1669958468
CODY JOHN HOLMES
BOUNTIFUL, UT
NPI
1669958468
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 10859961-3502)
Enumeration Date
2018-07-14
Last Update Date
2018-07-14
Business Address
CODY JOHN HOLMES CSW
1459 N MAIN ST
BOUNTIFUL, UT 84010-6092
Phone number: 801-298-2000
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Mailing Address
CODY JOHN HOLMES CSW
288 W 160 N
CLEARFIELD, UT 84015-3201
Phone number: 385-333-8456
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