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1801164801
CHARLES SEIFERT
SALT LAKE CITY, UT
NPI
1801164801
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-12-05
Last Update Date
2011-12-05
Business Address
-- CHARLES SEIFERT
411 GRANT ST
SALT LAKE CITY, UT 84116-2725
Phone number: 801-359-8862
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Mailing Address
-- CHARLES SEIFERT
411 GRANT ST
SALT LAKE CITY, UT 84116-2725
Phone number:
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