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1205109352
KRISTINA L KELLY ROSE
LAYTON, UT
NPI
1205109352
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 5059033-3502)
Enumeration Date
2012-02-21
Last Update Date
2015-07-16
Business Address
-- KRISTINA L KELLY ROSE
1086 E HIGHWAY 193 STE 103
LAYTON, UT 84040-8589
Phone number: 801-336-8475
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Mailing Address
-- KRISTINA L KELLY ROSE
306 N 1500 E
LAYTON, UT 84040-4558
Phone number: 801-336-8475
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