Organization
SALT LAKE CITY VA HEALTH CARE SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA LANDWARD LCSW (SOCIAL WORKER)
(801) 641-6064
Entity
Organization
Contact information
Practice address
1228 WATERSIDE CV APT 23, COTTONWOOD HEIGHTS, UT 84047-4291
(801) 641-6064
Mailing address
1228 WATERSIDE CV APT 23, COTTONWOOD HEIGHTS, UT 84047-4291
(801) 641-6064
Taxonomy
Speciality
Code
Description
License number
State
2865M2000X
Military General Acute Care Hospital
Primary
3670273501
UT
Other
Enumeration date
10/08/2008
Last updated
10/08/2008
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