Individual
LOIS HAROLDSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
207 S 300 E, PROVO, UT 84606-4743
(801) 356-2864
Mailing address
207 S 300 E, PROVO, UT 84606-4743
(801) 356-2864
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
309185-3501
UT
Other
Enumeration date
05/12/2008
Last updated
05/12/2008
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