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1104605005
JAMIE KACZMAREK
SALT LAKE CITY, UT
NPI
1104605005
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: UT 6688584-3501)
Enumeration Date
2023-09-28
Last Update Date
2023-09-28
Business Address
JAMIE KACZMAREK LCSW
1814 S LAKE ST
SALT LAKE CITY, UT 84105-3115
Phone number: 801-953-5846
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Mailing Address
JAMIE KACZMAREK LCSW
1814 S LAKE ST
SALT LAKE CITY, UT 84105-3115
Phone number: 801-953-5846
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