Individual
LAUREN MARIE MORIARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1280 E LORRAINE DR, SALT LAKE CITY, UT 84106-2511
(216) 409-6814
Mailing address
1280 E LORRAINE DR, SALT LAKE CITY, UT 84106-2511
(216) 409-6814
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12248587-3501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
92-1272639
DEPARTMENT OF THE TREASURY INTERNAL REVENUE SERVICE
UT
Enumeration date
12/09/2022
Last updated
12/09/2022
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