Individual
MRS. KRISTINA C GERLACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
440 W 600 N, TREMONTON, UT 84337
(435) 257-2168
Mailing address
440 W 600 N, TREMONTON, UT 84337
(435) 257-2168
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
7399260-3503
UT
1041C0700X
Clinical Social Worker
Primary
7399260-3501
UT
Other
Enumeration date
10/08/2012
Last updated
07/18/2018
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