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1093110470
RAINEY BOATENG
SALT LAKE CITY, UT
NPI
1093110470
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 6595792-3501)
Enumeration Date
2014-10-28
Last Update Date
2014-10-28
Business Address
-- RAINEY BOATENG LCSW
501 S CHIPETA WAY
SALT LAKE CITY, UT 84108-1222
Phone number: 801-583-2500
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Mailing Address
-- RAINEY BOATENG LCSW
9425 S RIVERSIDE DR APT. 1636
SANDY, UT 84070-6511
Phone number: 208-242-6325
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