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1487112264
KELLY MARTIN
SALT LAKE CITY, UT
NPI
1487112264
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 8978900-3501)
Enumeration Date
2019-03-11
Last Update Date
2021-06-04
Business Address
KELLY MARTIN
449 E 2100 S
SALT LAKE CITY, UT 84115-2237
Phone number: 801-596-2111
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Mailing Address
KELLY MARTIN
523 HERITAGE PARK BLVD
LAYTON, UT 84041-5711
Phone number: 801-525-9998
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