Individual
CRYSTAL MARIE GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
9361 S 300 E, SANDY, UT 84070-2902
(801) 826-5000
Mailing address
290 N 100 E, LEHI, UT 84043-1804
(801) 703-3941
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9517405-3501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003216458
—
UT
Enumeration date
09/03/2014
Last updated
05/27/2022
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