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Organization
SUCCESSFUL THERAPY
Active
Organization
SUCCESSFUL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE BALLEW LCSW (THERAPIST)
(801) 787-7735
Entity
Organization
Contact information
Practice address
275 W 200 N STE 203, LINDON, UT 84042-5019
(801) 787-7735
Mailing address
275 W 200 N STE 203, LINDON, UT 84042-5019
(801) 787-7735
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8650132-3501
UT
Other
Enumeration date
08/05/2015
Last updated
08/05/2015
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