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1336124387
PHYLLIS SPECIALE
SALT LAKE CITY, UT
NPI
1336124387
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 1235423501)
Enumeration Date
2005-12-13
Last Update Date
2012-04-09
Business Address
Ms. PHYLLIS SPECIALE LCSW
1141 E 3900 S A-170
SALT LAKE CITY, UT 84124-1215
Phone number: 801-270-6538
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Mailing Address
Ms. PHYLLIS SPECIALE LCSW
2640 CHADWICK ST
SALT LAKE CITY, UT 84106-3506
Phone number: 801-467-6617
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