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1912537291
KELLI BISHOP
SALT LAKE CITY, UT
NPI
1912537291
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 9177246-3502)
Enumeration Date
2020-01-25
Last Update Date
2020-01-25
Business Address
KELLI BISHOP CSW
2872 S HIGHLAND DR
SALT LAKE CITY, UT 84106-3147
Phone number: 801-485-8051
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Mailing Address
KELLI BISHOP CSW
2872 S HIGHLAND DR
S SALT LAKE, UT 84106-3147
Phone number: 801-485-8051
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