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1245332998
CHRISTINE E BURGESS
TAYLORSVILLE, UT
NPI
1245332998
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 1293133501)
Enumeration Date
2006-09-02
Last Update Date
2007-10-15
Business Address
-- CHRISTINE E BURGESS LCSW
5770 S 1500 W
TAYLORSVILLE, UT 84123-5216
Phone number: 801-265-3109
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Mailing Address
-- CHRISTINE E BURGESS LCSW
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-265-3109
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