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1669038352
KASI MICHELLE GOOD
PROVO, UT
NPI
1669038352
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 11168100-3502)
Enumeration Date
2019-05-17
Last Update Date
2021-05-24
Business Address
KASI MICHELLE GOOD LCSW
1837 N 1120 W
PROVO, UT 84604-1180
Phone number: 801-921-3619
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Mailing Address
KASI MICHELLE GOOD LCSW
1186 N 3020 W
PROVO, UT 84601-7138
Phone number: 801-636-5321
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