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Individual

LARA KRAVET

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
185 N VERNAL AVE STE 1, VERNAL, UT 84078-2100
(435) 789-1305
Mailing address
PO BOX 1081, ROOSEVELT, UT 84066-1081
(801) 608-6517

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11070430-3501
UT
1041C0700X
Clinical Social Worker
11070430-3502
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11070430-3501
STATE OF UTAH DEPARTMENT OF COMMERCE
UT
Enumeration date
07/03/2020
Last updated
09/23/2022
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