Individual
MARY LOU SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW & LSAC
Contact information
Practice address
900 S STATE ST, OREM, UT 84097-7028
(801) 224-3322
(801) 224-3848
Mailing address
900 S STATE ST, OREM, UT 84097-7028
(801) 224-3322
(801) 224-3848
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
314648-6006
UT
1041C0700X
Clinical Social Worker
314648-3501
UT
Other
Enumeration date
04/03/2007
Last updated
09/11/2025
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