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1700255031
SHANNALEE OTANEZ
SALT LAKE CITY, UT
NPI
1700255031
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 10347309-3501)
Enumeration Date
2015-09-16
Last Update Date
2020-07-02
Business Address
SHANNALEE OTANEZ LCSW
124 S 400 E STE 250
SALT LAKE CITY, UT 84111-5315
Phone number: 435-774-0485
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Mailing Address
SHANNALEE OTANEZ LCSW
1554 W PARADISE LN
TAYLORSVILLE, UT 84123-4355
Phone number: 801-554-0663
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