Individual
ANNA KARYN LACY WHISLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
664 N MAIN ST STE 203, LOGAN, UT 84321-6204
(435) 915-6777
Mailing address
523 N 750 E, HYDE PARK, UT 84318-3357
(435) 915-6777
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/19/2017
Last updated
08/19/2017
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