JESUS DE LA TORRE

SLC, UT
NPI1750380184
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  131507-3501)
Enumeration Date2005-07-18
Last Update Date2007-07-08
Business Address
-- JESUS DE LA TORRE LCSW
1579 W 600 S
SLC, UT 84104-2512
Phone number: 801-973-0655
Mailing Address
-- JESUS DE LA TORRE LCSW
1579 W 600 S
SLC, UT 84104-2512
Phone number: