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1194794693
TERESA WILLARD
SALT LAKE CITY, UT
NPI
1194794693
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 122176-3501)
Enumeration Date
2006-03-16
Last Update Date
2007-07-08
Business Address
-- TERESA WILLARD LCSW
50 N MEDICAL DR
SALT LAKE CITY, UT 84132-0001
Phone number: 801-585-2717
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Mailing Address
-- TERESA WILLARD LCSW
7932 CEDAR WAY
PARK CITY, UT 84098-5177
Phone number:
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