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1831836493
SHANNON LUCKART
SOUTH SALT LAKE, UT
NPI
1831836493
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: UT 4892361-3502)
Enumeration Date
2022-05-16
Last Update Date
2022-05-16
Business Address
SHANNON LUCKART
2500 S STATE ST
SOUTH SALT LAKE, UT 84115-3164
Phone number: 385-646-5000
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Mailing Address
SHANNON LUCKART
7361 S 2345 W
WEST JORDAN, UT 84084-3105
Phone number:
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