Individual
LAURA MARIE BAUMGART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1390 S 1100 E STE 204, SALT LAKE CITY, UT 84105-2463
(734) 306-1279
Mailing address
5101 E EMIGRATION CANYON RD, SALT LAKE CITY, UT 84108-1672
(734) 306-1279
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9539712-3501
UT
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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