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1497706360
ANGELA MARIE MANDEVILLE
SALT LAKE CITY, UT
NPI
1497706360
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 6145420-3502)
Enumeration Date
2006-05-15
Last Update Date
2009-10-29
Business Address
-- ANGELA MARIE MANDEVILLE CSW
2766 E 3300 S
SALT LAKE CITY, UT 84109-2819
Phone number: 801-467-5437
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Mailing Address
-- ANGELA MARIE MANDEVILLE CSW
2766 E 3300 S
SALT LAKE CITY, UT 84109-2819
Phone number: 801-467-5437
Copy
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