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1760091359
SAMANTHA JEAN POWELL
SALT LAKE CITY, UT
NPI
1760091359
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 10336369-3501)
Enumeration Date
2020-07-29
Last Update Date
2021-11-12
Business Address
Ms. SAMANTHA JEAN POWELL LCSW
2000 CIRCLE OF HOPE DR
SALT LAKE CITY, UT 84112-5550
Phone number: 801-587-4732
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Mailing Address
Ms. SAMANTHA JEAN POWELL LCSW
3377 W CROWN ST
TAYLORSVILLE, UT 84129-7820
Phone number: 801-712-3167
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