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1811398985
JENNIFER LANGE
SALT LAKE CITY, UT
NPI
1811398985
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2014-09-09
Last Update Date
2014-09-09
Business Address
-- JENNIFER LANGE
447 W BEARCAT DR
SALT LAKE CITY, UT 84115-2519
Phone number: 801-355-2846
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Mailing Address
-- JENNIFER LANGE
447 W BEARCAT DR
SALT LAKE CITY, UT 84115-2519
Phone number: 801-355-2846
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