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1114395274
CINDY LEE WALLACE
SOUTH JORDAN, UT
NPI
1114395274
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Former Name
CINDY LEE FOWLER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 10140193-3501)
Enumeration Date
2015-09-07
Last Update Date
2020-06-18
Business Address
CINDY LEE WALLACE LCSW
1206 W SOUTH JORDAN PKWY STE D
SOUTH JORDAN, UT 84095-5519
Phone number: 801-302-3801
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Mailing Address
CINDY LEE WALLACE LCSW
1206 W SOUTH JORDAN PKWY STE D
SOUTH JORDAN, UT 84095-5519
Phone number: 801-302-3801
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