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1063485399
MIMI GORDON-LEVINE
SALT LAKE CITY, UT
NPI
1063485399
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 941409633501)
Enumeration Date
2006-02-08
Last Update Date
2007-07-08
Business Address
-- MIMI GORDON-LEVINE LCSW
1141 E 3900 S STE A160
SALT LAKE CITY, UT 84124-1215
Phone number: 801-264-2325
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Mailing Address
-- MIMI GORDON-LEVINE LCSW
1141 E 3900 S STE A160
SALT LAKE CITY, UT 84124-1215
Phone number: 801-264-2325
Copy
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