Individual
KRISTA LEA HORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1140 36TH ST STE 285, OGDEN, UT 84403-2064
(801) 971-8373
Mailing address
PO BOX 3986, SALT LAKE CITY, UT 84110-3986
(801) 971-8373
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5192232-3502
UT
Other
Enumeration date
06/17/2010
Last updated
06/17/2010
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