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Individual

ENOCH PAUL FOSSUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
526 W CENTER ST STE N104, PLEASANT GROVE, UT 84062-3360
(801) 436-6747
Mailing address
572 S MURDOCK DR, PLEASANT GROVE, UT 84062-3271
(385) 207-8997

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary

Other

Enumeration date
06/27/2025
Last updated
06/27/2025
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