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1780655407
FREDERICK VAN DER VEUR
SALT LAKE CITY, UT
NPI
1780655407
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 1163593501)
Enumeration Date
2006-01-30
Last Update Date
2012-08-02
Business Address
Mr. FREDERICK VAN DER VEUR LCSW
1020 SOUTH MAIN STREET 242
SALT LAKE CITY, UT 84101
Phone number: 801-539-7093
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Mailing Address
Mr. FREDERICK VAN DER VEUR LCSW
PO BOX 901173
SANDY, UT 84090-1173
Phone number: 801-580-3905
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