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Organization
SAM AND RAGAN LLP
Active
Organization
SAM AND RAGAN LLP
Active
Other names
Gumtree Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL RYLAND LCSW (PARTNER)
(801) 228-0606
Entity
Organization
Contact information
Practice address
1 E CENTER ST STE 300, PROVO, UT 84606-3154
(801) 332-9660
Mailing address
1356 S 2770 E, SPANISH FORK, UT 84660-9403
(801) 228-0606
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
01/28/2022
Last updated
12/09/2022
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