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1144787409
CORINNE IVY GRANT
SALT LAKE CITY, UT
NPI
1144787409
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 94725933501)
Enumeration Date
2019-02-22
Last Update Date
2021-12-10
Business Address
CORINNE IVY GRANT LCSW
525 E 100 S FL 5
SALT LAKE CITY, UT 84102-4210
Phone number: 801-585-1212
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Mailing Address
CORINNE IVY GRANT LCSW
803 E 1ST AVE APT 3
SALT LAKE CITY, UT 84103-3990
Phone number: 801-608-5358
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