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Individual

GARTH JOHN LASATER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CSW

Contact information

Practice address
652 NORTH SHADY LANE, TOQUERVILLE, UT 84774
(438) 862-9657
(435) 215-0505
Mailing address
652 NORTH SHADY LANE, TOQUERVILLE, UT 84774
(435) 215-0500
(435) 215-0505

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
368194-3502
UT

Other

Enumeration date
08/17/2018
Last updated
08/17/2018
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