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1750380184
JESUS DE LA TORRE
SLC, UT
NPI
1750380184
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 131507-3501)
Enumeration Date
2005-07-18
Last Update Date
2007-07-08
Business Address
-- JESUS DE LA TORRE LCSW
1579 W 600 S
SLC, UT 84104-2512
Phone number: 801-973-0655
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Mailing Address
-- JESUS DE LA TORRE LCSW
1579 W 600 S
SLC, UT 84104-2512
Phone number:
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