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1164712733
CAROLYN JO HANSEN
SALT LAKE CITY, UT
NPI
1164712733
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 327377-3501)
Enumeration Date
2011-04-15
Last Update Date
2011-04-15
Business Address
-- CAROLYN JO HANSEN LCSW
3660 S WEST TEMPLE
SALT LAKE CITY, UT 84115-4441
Phone number: 385-468-4448
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Mailing Address
-- CAROLYN JO HANSEN LCSW
8342 EL MANICERO WAY
SANDY, UT 84093-1222
Phone number: 385-468-4448
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