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1174825301
KELLY R SILVERS
SALT LAKE CITY, UT
NPI
1174825301
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: UT 271074-6006)
Enumeration Date
2010-11-19
Last Update Date
2010-11-19
Business Address
-- KELLY R SILVERS LSAC
411 GRANT ST
SALT LAKE CITY, UT 84116-2725
Phone number: 801-359-8862
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Mailing Address
-- KELLY R SILVERS LSAC
411 GRANT ST
SALT LAKE CITY, UT 84116-2725
Phone number: 801-359-8862
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