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1922165505
MICHAEL SEAN BOUCK
OGDEN, UT
NPI
1922165505
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 4788797-3501)
Enumeration Date
2007-01-02
Last Update Date
2012-12-03
Business Address
Mr. MICHAEL SEAN BOUCK LCSW
5030 HARRISON BLVD
OGDEN, UT 84403-4311
Phone number: 801-387-5600
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Mailing Address
Mr. MICHAEL SEAN BOUCK LCSW
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-387-5600
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