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Individual

LYDIA HARRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CSW

Contact information

Practice address
115 GOLF COURSE RD STE E, LOGAN, UT 84321-5934
(435) 799-5035
Mailing address
115 GOLF COURSE RD STE E, LOGAN, UT 84321-5934
(435) 779-5303

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
142258963502
UT

Other

Enumeration date
01/05/2026
Last updated
01/05/2026
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