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1801247648
STEPHEN MORTENSEN
PROVO, UT
NPI
1801247648
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: UT 6638391-3902)
Enumeration Date
2016-06-23
Last Update Date
2016-06-23
Business Address
-- STEPHEN MORTENSEN LMFT
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 801-373-4760
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Mailing Address
-- STEPHEN MORTENSEN LMFT
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 801-373-4760
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