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Individual

LAUREN BOLTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1228 S 900 E, SALT LAKE CITY, UT 84105-1326
(888) 949-4864
Mailing address
3725 W 4100 S STE 201, WEST VALLEY CITY, UT 84120-5411
(888) 949-4864

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
1041C0700X
Clinical Social Worker
Primary
11742023-3501
UT
1041C0700X
Clinical Social Worker
171M00000X
Case Manager/Care Coordinator

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
900443817
REGENCE
UT
Enumeration date
02/06/2018
Last updated
11/20/2024
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