Individual
MS. LORA J WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
14217 S TEMPEST RIDGE CIR, HERRIMAN, UT 84096-1873
(152) 010-6219
(844) 903-2824
Mailing address
14217 S TEMPEST RIDGE CIR, HERRIMAN, UT 84096-1873
(915) 201-0621
(844) 903-2824
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
5208-C
NV
1041C0700X
Clinical Social Worker
Primary
58506
TX
1041C0700X
Clinical Social Worker
CSW.09926552
CO
Other
Enumeration date
04/23/2008
Last updated
04/18/2022
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