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1700995909
MICHAEL TERRY HARTLEY
PROVO, UT
NPI
1700995909
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW-27134)
Enumeration Date
2006-08-30
Last Update Date
2022-07-08
Business Address
Mr. MICHAEL TERRY HARTLEY LCSW
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 801-373-4760
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Mailing Address
Mr. MICHAEL TERRY HARTLEY LCSW
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 801-373-4760
Copy
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