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1003426040
KATIE FISHMAN
OREM, UT
NPI
1003426040
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 11022383)
Enumeration Date
2020-08-04
Last Update Date
2023-11-27
Business Address
KATIE FISHMAN
600 S GENEVA RD
OREM, UT 84059-5803
Phone number: 801-877-5300
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Mailing Address
KATIE FISHMAN
4978 W FROGS LEAP DR APT 2204
SOUTH JORDAN, UT 84009-4751
Phone number: 805-990-5128
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