Individual
MS. LORAINE T. BUNKER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3175 NILA WAY, SALT LAKE CITY, UT 84124-3127
(801) 277-3121
Mailing address
3175 NILA WAY, SALT LAKE CITY, UT 84124-3127
(801) 277-3121
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4943738-3501
UT
Other
Enumeration date
01/24/2006
Last updated
07/08/2007
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