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1750880969
FARRAH KAISA
PLEASANT GROVE, UT
NPI
1750880969
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 11332275-3501)
Enumeration Date
2018-02-03
Last Update Date
2022-01-24
Business Address
FARRAH KAISA
437 E 1000 S STE 200
PLEASANT GROVE, UT 84062-3623
Phone number: 801-921-3619
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Mailing Address
FARRAH KAISA
437 E 1000 S STE 200
PLEASANT GROVE, UT 84062-3623
Phone number: 801-921-3619
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