RICHARD E TANSKI

SLC, UT
NPI1740774710
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: UT  333038-6006)
Enumeration Date2018-06-21
Last Update Date2018-06-21
Business Address
RICHARD E TANSKI LSUDC
5689 S REDWOOD RD UNIT 30
SLC, UT 84123-5499
Phone number: 801-268-1715
Mailing Address
RICHARD E TANSKI LSUDC
5689 S REDWOOD RD UNIT 30
SLC, UT 84123-5499
Phone number:
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