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1750569695
ANDRA DEVAIAH
SALT LAKE CITY, UT
NPI
1750569695
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 5970951-3501)
Enumeration Date
2008-02-01
Last Update Date
2008-02-01
Business Address
-- ANDRA DEVAIAH LCSW
749 LOGAN AVE
SALT LAKE CITY, UT 84105-2228
Phone number: 801-695-1316
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Mailing Address
-- ANDRA DEVAIAH LCSW
PO BOX 12842
OGDEN, UT 84412-2842
Phone number: 801-695-1316
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