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1124219548
ROBERT S BAIN
SALT LAKE CITY, UT
NPI
1124219548
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 6628490-3501)
Enumeration Date
2007-08-09
Last Update Date
2011-10-28
Business Address
Mr. ROBERT S BAIN CSW
1149 LAKE ST
SALT LAKE CITY, UT 84105-1239
Phone number: 801-770-7415
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Mailing Address
Mr. ROBERT S BAIN CSW
1149 LAKE ST
SALT LAKE CITY, UT 84105-1239
Phone number: 801-770-7415
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