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Organization

DEREK CRAGUN, LCSW PLLC

Active
Other names
Derek Cragun, LCSW
Organization subpart
No

Provider details

NPI number
Authorized official
DEREK CRAGUN LCSW (OWNER)
(801) 875-7534
Entity
Organization

Contact information

Practice address
169 E KELSEY AVE, SALT LAKE CITY, UT 84111-4508
(801) 875-7534
Mailing address
169 E KELSEY AVE, SALT LAKE CITY, UT 84111-4508
(801) 875-7534

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
02/15/2022
Last updated
02/15/2022
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