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1679068159
DEREK LIVINGSTON
SANDY, UT
NPI
1679068159
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: UT 10838570-6009)
Enumeration Date
2018-06-27
Last Update Date
2024-01-26
Business Address
DEREK LIVINGSTON MS
11075 STATE ST #35
SANDY, UT 84070
Phone number: 801-990-4300
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Mailing Address
DEREK LIVINGSTON MS
11075 S STATE ST STE 35
SANDY, UT 84070-5187
Phone number: 801-990-4300
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