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1376125484
WILFORD KIMBALL DELAMARE
WEST JORDAN, UT
NPI
1376125484
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 1291363501)
Enumeration Date
2021-04-27
Last Update Date
2021-04-27
Business Address
WILFORD KIMBALL DELAMARE LCSW
9289 S REDWOOD RD
WEST JORDAN, UT 84088-6730
Phone number: 801-703-4830
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Mailing Address
WILFORD KIMBALL DELAMARE LCSW
210 CLUB HOUSE CT
NORTH SALT LAKE, UT 84054-3381
Phone number: 801-698-7704
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