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1659887222
ELISHA NICHOLE BETANCOURT
WEST JORDAN, UT
NPI
1659887222
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: UT 10518360-3502)
Enumeration Date
2017-12-19
Last Update Date
2017-12-19
Business Address
ELISHA NICHOLE BETANCOURT CSW
7625 S 3200 W STE 2
WEST JORDAN, UT 84084-2887
Phone number: 801-915-0359
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Mailing Address
ELISHA NICHOLE BETANCOURT CSW
603 S 1300 W
SALT LAKE CITY, UT 84104-2628
Phone number: 909-559-0533
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