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Organization
J MANUEL DE LA TORRE INC
Active
Organization
J MANUEL DE LA TORRE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JESUS MANUEL DE LA TORRE LCSW (PRESIDENT OWNER)
(801) 973-0655
Entity
Organization
Contact information
Practice address
1579 W 6005, SLC, UT 84104-2512
(801) 973-0655
(801) 973-0655
Mailing address
1579 W 6005, SLC, UT 84104-2512
(801) 973-0655
(801) 973-0655
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1315073501
UT
Other
Enumeration date
12/22/2006
Last updated
08/22/2020
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