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1063732147
SUSAN KIMBALL
SALT LAKE CITY, UT
NPI
1063732147
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: UT 56777276005)
Enumeration Date
2010-06-10
Last Update Date
2010-06-10
Business Address
Ms. SUSAN KIMBALL CSAC
280 M ST
SALT LAKE CITY, UT 84103-3548
Phone number: 801-359-4229
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Mailing Address
Ms. SUSAN KIMBALL CSAC
280 M ST
SALT LAKE CITY, UT 84103-3548
Phone number: 801-359-4229
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