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1750352225
RYAN KELLY GRANT
SALT LAKE CITY, UT
NPI
1750352225
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 373260-3501)
Enumeration Date
2006-01-31
Last Update Date
2024-06-13
Business Address
Mr. RYAN KELLY GRANT lcsw
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113-1103
Phone number: 801-662-1000
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Mailing Address
Mr. RYAN KELLY GRANT lcsw
PO BOX 30180
SALT LAKE CITY, UT 84130-0180
Phone number:
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