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1831510734
KELLIE BYARS
PROVO, UT
NPI
1831510734
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 711253-3502)
Enumeration Date
2013-12-18
Last Update Date
2016-01-27
Business Address
-- KELLIE BYARS LCSW
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 801-373-4760
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Mailing Address
-- KELLIE BYARS LCSW
750 N 200 W
PROVO, UT 84601-1677
Phone number: 801-373-0639
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