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1114558376
MARTHA LILIA SOTO CEBALLOS
SALT LAKE CITY, UT
NPI
1114558376
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 10378394-3502)
Enumeration Date
2020-01-27
Last Update Date
2022-12-02
Business Address
MARTHA LILIA SOTO CEBALLOS LCSW, ASUDC
4000 S 700 E STE 9
SALT LAKE CITY, UT 84107-2581
Phone number: 801-639-9544
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Mailing Address
MARTHA LILIA SOTO CEBALLOS LCSW, ASUDC
5481 W RIDGE HOLLOW WAY
KEARNS, UT 84118-9251
Phone number: 385-414-5482
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