Individual
LAURA G TIBURCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3269 S MAIN ST STE 100, SOUTH SALT LAKE, UT 84115-3773
(801) 935-4447
Mailing address
3269 S MAIN ST STE 230, SOUTH SALT LAKE, UT 84115-3769
(801) 935-4447
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13027098-3501
UT
1041C0700X
Clinical Social Worker
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Other
Enumeration date
05/10/2022
Last updated
07/22/2024
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