Individual
JAN M LERWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5667 S REDWOOD RD, TAYLORSVILLE, UT 84123-5433
(801) 979-1351
Mailing address
5667 S REDWOOD RD, TAYLORSVILLE, UT 84123-5433
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
7731515-3502
UT
Other
Enumeration date
04/11/2018
Last updated
04/11/2018
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