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1992766463
DERRIK R TOLLEFSON
HYRUM, UT
NPI
1992766463
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: UT 295335-3501)
Enumeration Date
2006-03-31
Last Update Date
2024-09-25
Business Address
Dr. DERRIK R TOLLEFSON PhD
347 S CENTER ST
HYRUM, UT 84319-1604
Phone number: 435-621-2992
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Mailing Address
Dr. DERRIK R TOLLEFSON PhD
347 S CENTER ST
HYRUM, UT 84319-1604
Phone number: 435-621-2992
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