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1760040927
SEAN DEFREESE
SALT LAKE CITY, UT
NPI
1760040927
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 12108477-3501)
Enumeration Date
2019-06-03
Last Update Date
2024-08-27
Business Address
SEAN DEFREESE
117 W 400 S
SALT LAKE CITY, UT 84101-1916
Phone number: 801-428-4257
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Mailing Address
SEAN DEFREESE
117 W 400 S
SALT LAKE CITY, UT 84101-1916
Phone number: 801-428-4257
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