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1720038060
CRAIG TULLIS MITCHELL
OGDEN, UT
NPI
1720038060
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 1253253501)
Enumeration Date
2006-05-10
Last Update Date
2007-07-08
Business Address
-- CRAIG TULLIS MITCHELL LCSW
5922 S 2125 E
OGDEN, UT 84403-5350
Phone number: 801-476-1774
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Mailing Address
-- CRAIG TULLIS MITCHELL LCSW
5922 S 2125 E
OGDEN, UT 84403-5350
Phone number: 801-476-1774
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