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1194022590
CANDICE PACKER
LEHI, UT
NPI
1194022590
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 7744469-3502)
Enumeration Date
2011-02-21
Last Update Date
2011-02-21
Business Address
-- CANDICE PACKER CSW
130 W MAIN ST
LEHI, UT 84043-2100
Phone number: 801-528-3247
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Mailing Address
-- CANDICE PACKER CSW
130 W MAIN ST
LEHI, UT 84043-2100
Phone number: 801-528-3247
Copy
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