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Organization
SHRINKSTER, LLC
Active
Organization
SHRINKSTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RODERICK V. JOHNSON LCSW (OWNER)
(801) 685-9600
Entity
Organization
Contact information
Practice address
860 E 4500 S STE 302, SALT LAKE CITY, UT 84107-3018
(801) 685-9600
(801) 268-3777
Mailing address
860 E 4500 S STE 302, SALT LAKE CITY, UT 84107-3018
(801) 685-9600
(801) 268-3777
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1347223501
UT
Other
Enumeration date
03/24/2008
Last updated
01/08/2013
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