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1083047567
SHANTEL NICHOLE PETTIT
RIVERTON, UT
NPI
1083047567
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 5987144-3502)
Enumeration Date
2013-08-19
Last Update Date
2013-08-19
Business Address
-- SHANTEL NICHOLE PETTIT CSW
3740 W MARKET CENTER DR #1200
RIVERTON, UT 84065-8026
Phone number: 801-240-9436
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Mailing Address
-- SHANTEL NICHOLE PETTIT CSW
3740 W MARKET CENTER DR #1200
RIVERTON, UT 84065-8026
Phone number: 801-240-9436
Copy
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