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1710461934
TRACY WADE THOMSON
SALT LAKE CITY, UT
NPI
1710461934
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: UT 10703094-6007)
Enumeration Date
2018-09-24
Last Update Date
2018-09-24
Business Address
TRACY WADE THOMSON ACMHC
344 E 100 S
SALT LAKE CITY, UT 84111-1700
Phone number: 801-322-3222
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Mailing Address
TRACY WADE THOMSON ACMHC
344 E 100 S
SALT LAKE CITY, UT 84111-1700
Phone number: 801-322-3222
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