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Individual

EMILY ALLISON LANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
12587 S FORT ST, DRAPER, UT 84020-9381
(801) 203-0244
Mailing address
12587 S FORT ST, DRAPER, UT 84020-9381

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11817114-3501
UT
1041C0700X
Clinical Social Worker
11817114-3501
UT

Other

Enumeration date
08/05/2020
Last updated
04/07/2023
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