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1861798142
MARK DAVID DE ST. AUBIN
SALT LAKE CITY, UT
NPI
1861798142
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 133556-3501)
Enumeration Date
2011-02-03
Last Update Date
2011-02-03
Business Address
Mr. MARK DAVID DE ST. AUBIN LCSW, CT
5005 S 900 E STE 120
SALT LAKE CITY, UT 84117-5711
Phone number: 801-891-3137
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Mailing Address
Mr. MARK DAVID DE ST. AUBIN LCSW, CT
3351 EL SERRITO DR
SALT LAKE CITY, UT 84109-4249
Phone number: 801-891-3137
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