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Individual
JACK ALAN GIFT
Active
Individual
JACK ALAN GIFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
75672796005
UT
104100000X
Social Worker
7567279-3502
UT
1041C0700X
Clinical Social Worker
Primary
7567279-3501
UT
Other
Enumeration date
01/13/2011
Last updated
07/11/2022
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