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1285758615
KATHLEEN THERESA COUILLARD
SALT LAKE CITY, UT
NPI
1285758615
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 221231963501)
Enumeration Date
2007-03-19
Last Update Date
2007-07-08
Business Address
Mrs. KATHLEEN THERESA COUILLARD LCSW
131 1ST AVE APT 706
SALT LAKE CITY, UT 84103-2314
Phone number: 801-824-2204
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Mailing Address
Mrs. KATHLEEN THERESA COUILLARD LCSW
131 1ST AVE APT 706
SALT LAKE CITY, UT 84103-2314
Phone number: 801-824-2204
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