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1215196647
PAMELA JOAN BENNETT
TOOELE, UT
NPI
1215196647
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 54668946501)
Enumeration Date
2008-06-02
Last Update Date
2012-07-27
Business Address
-- PAMELA JOAN BENNETT LCSW
100 S 1000 W
TOOELE, UT 84074-4010
Phone number: 435-843-3520
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Mailing Address
-- PAMELA JOAN BENNETT LCSW
5965 S 900 E
SALT LAKE CITY, UT 84121-1720
Phone number: 801-263-7100
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