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1730802810
LOGAN TELFORD
PROVO, UT
NPI
1730802810
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 10832376-3501)
Enumeration Date
2022-09-22
Last Update Date
2022-09-22
Business Address
LOGAN TELFORD
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 801-373-4760
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Mailing Address
LOGAN TELFORD
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 801-373-4760
Copy
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