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J Manuel De La Torre Inc Valid NPI

Organization · Clinical Social Worker · Slc, UT

NPI
1164586061
Type
Organization (Type 2)
Primary specialty
Clinical Social Worker (Social Worker)
Specialty group
Behavioral Health & Social Service Providers
Taxonomy code
1041C0700X
License number
1315073501 (UT)
Enumerated
2006-12-22
Last updated
2020-08-22
Practice location
1579 W 6005
Slc, UT 84104-2512
(801) 973-0655

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