Individual
MS. ANN L LAZERUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
150 S 600 E, SUITE 8-C, SALT LAKE CITY, UT 84102-1999
(801) 414-9650
(801) 363-1785
Mailing address
150 S 600 E, SUITE 8-C, SALT LAKE CITY, UT 84102-1999
(801) 414-9650
(801) 363-1785
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4933435-6004
UT
Other
Enumeration date
07/29/2010
Last updated
07/29/2010
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