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1386153534
SUSAN IMHOFF BIRD
SALT LAKE CITY, UT
NPI
1386153534
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 288938-3501)
Enumeration Date
2017-09-20
Last Update Date
2017-09-20
Business Address
SUSAN IMHOFF BIRD LCSW
4505 S WASATCH BLVD STE 320
SALT LAKE CITY, UT 84124-4755
Phone number: 801-541-5205
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Mailing Address
SUSAN IMHOFF BIRD LCSW
2185 E 1700 S
SALT LAKE CITY, UT 84108-2716
Phone number: 801-541-5205
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