Individual
TRACE W LUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4460 S HIGHLAND DR, SALT LAKE CITY, UT 84124-3543
(888) 949-4864
Mailing address
4460 S HIGHLAND DR, SALT LAKE CITY, UT 84124-3543
(888) 949-4864
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
13939815-6009
UT
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
05/21/2019
Last updated
05/07/2024
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