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Individual

JOSEPH MAKOUSKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
660 S 200 E STE 205, SLC, UT 84111-3835
(801) 359-2256
Mailing address
3004 S 500 E, SOUTH SALT LAKE, UT 84106-1357

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
08/08/2023
Last updated
08/08/2023
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