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Organization
PRIDE COUNSELING INC
Active
Organization
PRIDE COUNSELING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY L BUIE LCSW (LICENSED CLINICAL SOCIAL WORKER)
(801) 595-0666
Entity
Organization
Contact information
Practice address
1174 E GRAYSTONE WAY STE 20E, SALT LAKE CITY, UT 84106-2678
(801) 595-0666
(801) 595-0669
Mailing address
1174 E GRAYSTONE WAY STE 20E, SALT LAKE CITY, UT 84106-2678
(801) 595-0666
(801) 595-0669
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
140182-3501
UT
Other
Enumeration date
08/19/2006
Last updated
12/05/2023
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