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1821020322
CHARLES W. TALCOTT
SALT LAKE CITY, UT
NPI
1821020322
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: UT 369794-6006)
Enumeration Date
2006-07-06
Last Update Date
2007-07-08
Business Address
Mr. CHARLES W. TALCOTT BA/LSAC
VA MEDICAL CTR 500 FOOTHILL BLVD
SALT LAKE CITY, UT 84148-0001
Phone number: 801-582-1565
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Mailing Address
Mr. CHARLES W. TALCOTT BA/LSAC
VA MEDICAL CTR 500 FOOTHILL BLVD
SALT LAKE CITY, UT 84148-0001
Phone number: 801-582-1565
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