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1770340028
JONATHAN MARTIN BENN
DRAPER, UT
NPI
1770340028
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: UT 12867835-3501)
Enumeration Date
2024-03-04
Last Update Date
2024-03-04
Business Address
JONATHAN MARTIN BENN LCSW
258 E 12200 S
DRAPER, UT 84020-7817
Phone number: 385-215-9794
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Mailing Address
JONATHAN MARTIN BENN LCSW
630 S HARMONY CT
SALT LAKE CITY, UT 84102-3446
Phone number: 801-520-2038
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