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1871137604
THOMAS WALLACE PINCOCK
SOUTH JORDAN, UT
NPI
1871137604
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: UT 9538211-6004)
Enumeration Date
2019-11-05
Last Update Date
2019-11-05
Business Address
THOMAS WALLACE PINCOCK CMHC
1258 W SOUTH JORDAN PKWY STE 202
SOUTH JORDAN, UT 84095-4712
Phone number: 801-255-1155
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Mailing Address
THOMAS WALLACE PINCOCK CMHC
1258 W SOUTH JORDAN PKWY STE 202
SOUTH JORDAN, UT 84095-4712
Phone number: 801-255-1155
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