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1710386222
DEREK ANDERSEN
SOUTH OGDEN, UT
NPI
1710386222
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: UT 77744203902)
Enumeration Date
2014-08-20
Last Update Date
2014-08-20
Business Address
-- DEREK ANDERSEN L.M.F.T.
5685 S 1475 E STE 2B
SOUTH OGDEN, UT 84403-4598
Phone number: 801-920-6352
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Mailing Address
-- DEREK ANDERSEN L.M.F.T.
5685 S 1475 E STE 2B
SOUTH OGDEN, UT 84403-4598
Phone number: 801-920-6352
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