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1992112841
ELISA LEARY
SALT LAKE CITY, UT
NPI
1992112841
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: UT 89125963502)
Enumeration Date
2014-07-11
Last Update Date
2014-07-11
Business Address
-- ELISA LEARY
2020 S LAKE ST
SALT LAKE CITY, UT 84105-3119
Phone number: 801-487-7778
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Mailing Address
-- ELISA LEARY
2020 S LAKE ST
SALT LAKE CITY, UT 84105-3119
Phone number:
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