Individual
HEATHER IVANA LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6856 700 E, MIDVALE, UT 84047, MIDVALE,UT, UT 84047
(888) 949-4864
Mailing address
4460 S HIGHLAND DR, SALT LAKE CITY, UT 84124-3543
(801) 290-8787
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/25/2018
Last updated
06/25/2018
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