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1821349739
WILLIAM J SELFRIDGE
SALT LAKE CITY, UT
NPI
1821349739
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 356125-3501)
Enumeration Date
2012-10-02
Last Update Date
2016-04-13
Business Address
Mr. WILLIAM J SELFRIDGE LCSW
2480 S MAIN ST # 205
SALT LAKE CITY, UT 84115-3058
Phone number: 801-706-1467
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Mailing Address
Mr. WILLIAM J SELFRIDGE LCSW
2480 S MAIN ST
SALT LAKE CITY, UT 84115-3058
Phone number: 801-706-1467
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