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Individual
STEPHEN MORTENSEN
Active
Individual
STEPHEN MORTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
6638391-3902
UT
Other
Enumeration date
06/23/2016
Last updated
06/23/2016
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