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1770339756
DERRIEK BLACKWELL
TAYLORSVILLE, UT
NPI
1770339756
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: UT 13844125-3502)
Enumeration Date
2024-04-29
Last Update Date
2024-04-29
Business Address
DERRIEK BLACKWELL CSW
5663 S REDWOOD RD SUITE 2, OFFICE 10
TAYLORSVILLE, UT 84123
Phone number: 801-742-5851
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Mailing Address
DERRIEK BLACKWELL CSW
5663 S REDWOOD RD SUITE 2, OFFICE 10
TAYLORSVILLE, UT 84123
Phone number: 801-742-5851
Copy
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