Individual
LORII ANN HUBBARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2616 BLACK WALNUT DR, LOGAN, UT 84341-1643
(435) 890-9323
Mailing address
95 W 100 S, STE 104, LOGAN, UT 84321-4551
(435) 890-9323
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8340888-3501
UT
Other
Enumeration date
11/04/2014
Last updated
03/22/2017
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