ZACKIE KANISHKA

SALT LAKE CITY, UT
NPI1710549605
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: UT  9524947-3502)
Enumeration Date2019-07-01
Last Update Date2025-11-09
Business Address
ZACKIE KANISHKA
117 W 400 S
SALT LAKE CITY, UT 84101-1916
Phone number: 801-428-4257
Mailing Address
ZACKIE KANISHKA
117 W 400 S
SALT LAKE CITY, UT 84101-1916
Phone number: 801-428-4257
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