Individual
LORI RENEE HOLDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1414 S 400 W, BOUNTIFUL, UT 84010-7305
(801) 718-0934
Mailing address
1414 S 400 W, BOUNTIFUL, UT 84010-7305
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
142884713502
UT
Other
Enumeration date
07/27/2026
Last updated
07/27/2026
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