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1306149273
LISA HEATON
SALT LAKE CITY, UT
NPI
1306149273
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2010-12-14
Last Update Date
2010-12-14
Business Address
-- LISA HEATON
857 E 200 S
SALT LAKE CITY, UT 84102-2317
Phone number: 801-487-3276
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Mailing Address
-- LISA HEATON
857 E 200 S
SALT LAKE CITY, UT 84102-2317
Phone number:
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