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1952529026
SANDRA ELAINE SMITH
PROVO, UT
NPI
1952529026
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 322609-3501)
Enumeration Date
2007-04-23
Last Update Date
2009-11-25
Business Address
Ms. SANDRA ELAINE SMITH LCSW
1190 N 900 E # 211
PROVO, UT 84604-3536
Phone number: 801-422-7620
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Mailing Address
Ms. SANDRA ELAINE SMITH LCSW
694 E 1280 N
OREM, UT 84097-3408
Phone number: 801-226-9050
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