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Individual

TREAS EDDLEMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
12464 S MOSSBERG DR, HERRIMAN, UT 84096-7784
(801) 558-6652
Mailing address
12464 S MOSSBERG DR, HERRIMAN, UT 84096-7784
(801) 558-6652

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5962005-3501
UT

Other

Enumeration date
01/10/2017
Last updated
01/10/2017
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