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1942503313
MACHIEL PIETER KLERK
SALT LAKE CITY, UT
NPI
1942503313
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: UT 6938635-3902)
Enumeration Date
2010-12-07
Last Update Date
2010-12-07
Business Address
Mr. MACHIEL PIETER KLERK LMFT
2010 EVERGREEN AVE
SALT LAKE CITY, UT 84109-2923
Phone number: 801-656-8806
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Mailing Address
Mr. MACHIEL PIETER KLERK LMFT
150 S 600 E STE 7C
SALT LAKE CITY, UT 84102-1989
Phone number: 801-656-8806
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