Individual
JACALYN LAWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPSS
Contact information
Practice address
745 E 300 S, SALT LAKE CITY, UT 84102-2256
(801) 828-5504
Mailing address
137 N SUN ARBOR TER APT 2251, SALT LAKE CITY, UT 84116-4583
(801) 828-5504
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/03/2019
Last updated
12/03/2019
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