Individual
LARAINE MURDOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4501 N UNIVERSITY AVE, PROVO, UT 84604-5504
(801) 227-2000
Mailing address
2451 W 1600 N, LEHI, UT 84043-4882
(479) 226-1283
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10589857-3501
UT
Other
Enumeration date
03/21/2020
Last updated
01/03/2022
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