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Individual

PATRICK POWERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4505 S WASATCH BLVD STE 290, MILLCREEK, UT 84124-4204
(801) 549-7695
Mailing address
4505 S WASATCH BLVD STE 290, MILLCREEK, UT 84124-4204
(801) 549-7695

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
12254209-3902
UT
106H00000X
Marriage & Family Therapist
12254209-3904
UT

Other

Enumeration date
12/31/2021
Last updated
11/15/2022
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