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Individual

LISA GAUCHAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1950 CIRCLE OF HOPE DR, SALT LAKE CITY, UT 84112-5500
(801) 585-0212
(801) 585-3880
Mailing address
1950 CIRCLE OF HOPE DR, SALT LAKE CITY, UT 84112-5500
(801) 585-0212
(801) 585-3880

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6234925-3501
UT

Other

Enumeration date
07/12/2016
Last updated
12/10/2021
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