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1821361551
KIMBERLY SHAW
SALT LAKE CITY, UT
NPI
1821361551
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 52199593502)
Enumeration Date
2012-02-10
Last Update Date
2012-02-10
Business Address
-- KIMBERLY SHAW CSW
623 E 100 S
SALT LAKE CITY, UT 84102-1103
Phone number: 801-979-1351
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Mailing Address
-- KIMBERLY SHAW CSW
6773 DAWN VISTA RD
WEST JORDAN, UT 84081-3415
Phone number: 801-518-5620
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