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1942271028
RICKIE INEZ BERRETT LAKE
SALT LAKE CITY, UT
NPI
1942271028
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Former Name
RICKIE BERRETT LUNDSTROM
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 139965-3501)
Enumeration Date
2006-01-27
Last Update Date
2010-11-19
Business Address
Ms. RICKIE INEZ BERRETT LAKE LCSW
5965 S 900 E
SALT LAKE CITY, UT 84121-1720
Phone number: 801-263-7225
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Mailing Address
Ms. RICKIE INEZ BERRETT LAKE LCSW
5576 ALPINE POINT CIR
SALT LAKE CITY, UT 84118-9275
Phone number: 801-835-3511
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