Individual
MS. LORA FAITH WORTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
370 E SOUTH TEMPLE, #550, SALT LAKE CITY, UT 84111-1206
(801) 583-9638
(801) 355-9322
Mailing address
370 E SOUTH TEMPLE, #550, SALT LAKE CITY, UT 84111-1206
(801) 583-9638
(801) 355-9322
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1222993501
UT
Other
Enumeration date
08/14/2008
Last updated
08/14/2008
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