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1740545672
JEREMY DAVID FOOTER
SALT LAKE CITY, UT
NPI
1740545672
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 9484273-3501)
Enumeration Date
2012-07-06
Last Update Date
2021-12-10
Business Address
Mr. JEREMY DAVID FOOTER LCSW
5965 S 900 E
SALT LAKE CITY, UT 84121-1720
Phone number: 801-263-7138
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Mailing Address
Mr. JEREMY DAVID FOOTER LCSW
5965 S 900 E
SALT LAKE CITY, UT 84121-1720
Phone number: 801-263-7138
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