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1861472177
KIMBERLY MITCHELL
SALT LAKE CITY, UT
NPI
1861472177
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Former Name
KIMBERLY NIELSEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 4912299-3501)
Enumeration Date
2006-01-20
Last Update Date
2007-07-08
Business Address
-- KIMBERLY MITCHELL LCSW
780 GUARDSMAN WAY
SALT LAKE CITY, UT 84108-1374
Phone number: 801-581-0194
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Mailing Address
-- KIMBERLY MITCHELL LCSW
14106 CANDY PULL DR
DRAPER, UT 84020-7513
Phone number: 801-577-2712
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