Individual
MIRANDA LOBATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 N 500 W STE 101, BOUNTIFUL, UT 84010-6847
(801) 683-9992
Mailing address
1887 W 1620 N, LAYTON, UT 84041-1447
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
60028253502
UT
Other
Enumeration date
03/17/2025
Last updated
05/22/2025
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