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1871636043
KELLI CLARK JACOBSEN
SALT LAKE CITY, UT
NPI
1871636043
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 6953774-3501)
Enumeration Date
2007-02-15
Last Update Date
2010-10-18
Business Address
Mrs. KELLI CLARK JACOBSEN LCSW
450 S 900 E STE 300
SALT LAKE CITY, UT 84102-3064
Phone number: 801-534-7916
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Mailing Address
Mrs. KELLI CLARK JACOBSEN LCSW
450 S 900 E STE 300
SALT LAKE CITY, UT 84102-3064
Phone number: 801-534-7916
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