Individual
LAURA ELIZABETH LUNDQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
3444 W 4400 S, WEST VALLEY CITY, UT 84119-5644
(385) 646-4842
(385) 646-4843
Mailing address
3444 W 4400 S, WEST VALLEY CITY, UT 84119-5644
(385) 646-4842
(385) 646-4843
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7106614-3501
UT
Other
Enumeration date
08/06/2009
Last updated
09/30/2010
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