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Individual

MR. MICHAEL DAVID DULLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.A.

Contact information

Practice address
68 S 600 E, SALT LAKE CITY, UT 84102-1007
(801) 428-3469
Mailing address
68 S 600 E, SALT LAKE CITY, UT 84102-1007
(801) 428-3469
(801) 359-3864

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5804086-6004
UT

Other

Enumeration date
05/21/2010
Last updated
05/21/2010
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