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Individual

KAITIN LEE OBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
857 E 200 S, SALT LAKE CITY, UT 84102-2317
(801) 487-3276
Mailing address
2625 E STRINGHAM AVE APT 202B, SALT LAKE CITY, UT 84109-3911
(801) 361-3195

Taxonomy

Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary

Other

Enumeration date
08/30/2017
Last updated
08/30/2017
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