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1396386603
LORI ELLEN DAVIS
SALT LAKE CITY, UT
NPI
1396386603
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 276246-3501)
Enumeration Date
2019-10-08
Last Update Date
2019-10-08
Business Address
LORI ELLEN DAVIS LCSW
1200 EAST 3900 SOUTH
SALT LAKE CITY, UT 84124
Phone number: 801-243-6924
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Mailing Address
LORI ELLEN DAVIS LCSW
4956 W 6200 S # 315
KEARNS, UT 84118-6703
Phone number: 801-243-6924
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