Individual
MISS LAURA ELIZABETH WEGENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
660 S 200 E STE 308, SALT LAKE CITY, UT 84111-3853
(801) 355-2846
Mailing address
660 S 200 E STE 308, SALT LAKE CITY, UT 84111-3853
(801) 355-2846
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
55062703502
UT
Other
Enumeration date
11/11/2009
Last updated
11/11/2009
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