Individual
LAURA BRIDGET RUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
904 S STATE ST, CLEARFIELD, UT 84015-1815
(801) 773-7060
Mailing address
934 S MAIN ST, LAYTON, UT 84041-7135
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7427320-3502
UT
Other
Enumeration date
09/17/2010
Last updated
09/17/2010
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