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1518401710
REGENA BONNER
SALT LAKE CITY, UT
NPI
1518401710
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 5936968-3502)
Enumeration Date
2016-12-07
Last Update Date
2016-12-07
Business Address
-- REGENA BONNER LCSW
501 S CHIPETA WAY
SALT LAKE CITY, UT 84108-1222
Phone number: 801-587-3187
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Mailing Address
-- REGENA BONNER LCSW
501 S CHIPETA WAY
SALT LAKE CITY, UT 84108-1222
Phone number: 801-587-3187
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