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1194499749
THERESA IPOLITO
SALT LAKE CITY, UT
NPI
1194499749
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 13427226-3502)
Enumeration Date
2021-08-06
Last Update Date
2024-02-01
Business Address
THERESA IPOLITO CSW
154 E MYRTLE AVE STE 204
SALT LAKE CITY, UT 84107-4850
Phone number: 801-369-8989
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Mailing Address
THERESA IPOLITO CSW
344 E 100 S STE 301
SALT LAKE CITY, UT 84111-1727
Phone number:
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