Individual
MRS. LYNELL SOUTH PACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2317 N HILL FIELD RD STE 103, LAYTON, UT 84041-4782
(801) 525-4645
(801) 779-7808
Mailing address
2317 N HILL FIELD RD STE 103, LAYTON, UT 84041-4782
(801) 525-4645
(801) 779-7808
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4817282-3501
UT
Other
Enumeration date
10/03/2008
Last updated
03/12/2012
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