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Individual
PRESTON DAVID KADLECK
Active
Individual
PRESTON DAVID KADLECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
10366581-3904
UT
101Y00000X
Counselor
—
NULL
106H00000X
Marriage & Family Therapist
Primary
10366581-3902
UT
251S00000X
Community/Behavioral Health Agency
—
UT
Other
Enumeration date
05/15/2017
Last updated
07/18/2019
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