Individual
LORRAINE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 N 1700 W, LAYTON, UT 84041-1140
(801) 773-7060
Mailing address
934 S MAIN ST, LAYTON, UT 84041-7135
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5712178-3503
UT
Other
Enumeration date
11/01/2010
Last updated
11/01/2010
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