Individual
MRS. LORI KETTLE HUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W
Contact information
Practice address
9361 S 300 E, SANDY, UT 84070-2902
(801) 826-5000
Mailing address
1966 E RUA BRANCO DR, SANDY, UT 84093-6907
(801) 916-0863
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
53269293501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
53269293500001
BLUE CROSS
UT
Enumeration date
01/12/2006
Last updated
05/27/2022
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