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1750304515
JASON L POLA
TAYLORSVILLE, UT
NPI
1750304515
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 3782933501)
Enumeration Date
2006-07-25
Last Update Date
2007-07-08
Business Address
-- JASON L POLA LCSW
5770 S 1500 W
TAYLORSVILLE, UT 84123-5216
Phone number: 801-265-3000
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Mailing Address
-- JASON L POLA LCSW
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-265-3000
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