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1124111836
BARRETT BONELLA
SALT LAKE CITY, UT
NPI
1124111836
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 6234378-3501)
Enumeration Date
2006-10-02
Last Update Date
2010-06-23
Business Address
Prof. BARRETT BONELLA LCSW
1588 MAJOR ST
SALT LAKE CITY, UT 84115-1631
Phone number: 801-467-6060
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Mailing Address
Prof. BARRETT BONELLA LCSW
2284 S GREEN ST
SALT LAKE CITY, UT 84106-1410
Phone number: 801-467-6060
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