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1487220224
GINA MARIE MAKOUSKE
SALT LAKE CITY, UT
NPI
1487220224
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: UT 12236527-3502)
Enumeration Date
2021-06-02
Last Update Date
2021-06-02
Business Address
GINA MARIE MAKOUSKE CSW
660 S 200 E
SALT LAKE CITY, UT 84111-3835
Phone number: 801-359-2256
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Mailing Address
GINA MARIE MAKOUSKE CSW
660 S 200 E
SALT LAKE CITY, UT 84111-3835
Phone number:
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