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1700285947
KIP BLAINE WEBSTER
LAYTON, UT
NPI
1700285947
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 8939680-3501)
Enumeration Date
2014-08-13
Last Update Date
2022-06-16
Business Address
KIP BLAINE WEBSTER LCSW
934 S MAIN ST
LAYTON, UT 84041-7135
Phone number: 801-773-7060
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Mailing Address
KIP BLAINE WEBSTER LCSW
934 S MAIN ST
LAYTON, UT 84041-7135
Phone number: 801-773-7060
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