Individual
MRS. RANEE OTEIKO CRONQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
90 E 200 N, LOGAN, UT 84321-4034
(435) 752-0750
Mailing address
3311 S 1600 W, NIBLEY, UT 84321-6948
(435) 752-0750
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5758229-3502
UT
Other
Enumeration date
11/19/2010
Last updated
03/07/2014
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