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1245977602
CHRISTINA ELLWANGER
BOUNTIFUL, UT
NPI
1245977602
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 105665263501-3501)
Enumeration Date
2022-05-17
Last Update Date
2022-05-17
Business Address
CHRISTINA ELLWANGER LCSW
1325 N MAIN ST
BOUNTIFUL, UT 84010-6089
Phone number: 801-895-2575
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Mailing Address
CHRISTINA ELLWANGER LCSW
4503 W RIPPLE DR
WEST JORDAN, UT 84088-2328
Phone number:
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