Individual
MRS. LAUREN SAMUELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
94 E PAGES LN STE A, CENTERVILLE, UT 84014-2216
(801) 294-0578
Mailing address
500 BROADWAY APT B322, FARMINGTON, UT 84025-5653
(385) 439-8411
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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