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Organization
THERAPEUTIC CENTER FOR CHANGE PC
Active
Organization
THERAPEUTIC CENTER FOR CHANGE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA B TUTTLE LCSW (DIRECTOR)
(801) 668-0490
Entity
Organization
Contact information
Practice address
1466 N HIGHWAY 89 STE 230, FARMINGTON, UT 84025-2738
(801) 668-0490
(801) 737-0099
Mailing address
1466 N HIGHWAY 89 STE 230, FARMINGTON, UT 84025-2738
(801) 668-0490
(801) 737-0099
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/21/2007
Last updated
12/21/2007
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