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1285140202
JADE LUBECK
SALT LAKE CITY, UT
NPI
1285140202
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 104628143502)
Enumeration Date
2017-12-28
Last Update Date
2017-12-28
Business Address
JADE LUBECK
348 E 4500 S
SALT LAKE CITY, UT 84107-3906
Phone number: 801-971-0446
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Mailing Address
JADE LUBECK
830 E 6TH AVE APT 3
SALT LAKE CITY, UT 84103-3590
Phone number: 801-971-0446
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