Individual
LAUREN ANN SIMICICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5119 W DAYBREAK PKWY, SOUTH JORDAN, UT 84009-4858
(801) 582-1565
Mailing address
352 E SANDY OAKS DR, SANDY, UT 84070-0574
(516) 424-5846
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
14087063-2501
UT
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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