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1811464589
JUSTIN ALLEN NORTHWAY
WEST VALLEY, UT
NPI
1811464589
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 6377910-3501)
Enumeration Date
2018-10-30
Last Update Date
2018-12-12
Business Address
JUSTIN ALLEN NORTHWAY
2948 S REDWOOD RD
WEST VALLEY, UT 84119-2323
Phone number: 888-949-4864
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Mailing Address
JUSTIN ALLEN NORTHWAY
PO BOX 572070
MURRAY, UT 84157-2070
Phone number: 801-263-7100
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