Individual
LYRA GILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
857 E 200 S, SALT LAKE CITY, UT 84102-2317
(180) 148-7327
Mailing address
857 E 200 S, SALT LAKE CITY, UT 84102-2317
(180) 148-7327
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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