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1295857266
KYLE HANSEN GOUDIE
DRAPER, UT
NPI
1295857266
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 6370645-3501)
Enumeration Date
2007-04-03
Last Update Date
2009-07-14
Business Address
Mr. KYLE HANSEN GOUDIE LCSW
11451 S 700 E SUITE E
DRAPER, UT 84020-8204
Phone number: 801-330-6324
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Mailing Address
Mr. KYLE HANSEN GOUDIE LCSW
11451 S 700 E SUITE E
DRAPER, UT 84020-8204
Phone number: 801-330-6324
Copy
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