Individual
MRS. LAUREN MARI' DEVARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
344 E 100 S, SALT LAKE CITY, UT 84111-1700
(801) 322-4257
Mailing address
3121 S 8560 W, MAGNA, UT 84044-1722
(214) 436-9764
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/12/2010
Last updated
06/12/2010
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