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1992775415
FAN LEE KWAN
MIDVALE, UT
NPI
1992775415
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 369290-3501)
Enumeration Date
2006-01-25
Last Update Date
2012-08-08
Business Address
Mrs. FAN LEE KWAN MSW
7434 S STATE ST
MIDVALE, UT 84047-2014
Phone number: 801-566-4423
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Mailing Address
Mrs. FAN LEE KWAN MSW
6294 TERRACE RIDGE DR
WEST VALLEY CITY, UT 84128-5604
Phone number: 801-964-5185
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