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1720869175
LANE MATHEW KUNZIE
SALT LAKE CITY, UT
NPI
1720869175
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041S0200X Social Worker, School
Additional Taxonomies
1041C0700X Social Worker, Clinical
Enumeration Date
2023-10-11
Last Update Date
2023-12-11
Business Address
LANE MATHEW KUNZIE
140 W 2100 S STE 140
SALT LAKE CITY, UT 84115-1852
Phone number: 801-382-8259
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Mailing Address
LANE MATHEW KUNZIE
140 W 2100 S STE 140
SALT LAKE CITY, UT 84115-1852
Phone number: 801-382-8259
Copy
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