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Individual

RILEY HAACKE LYNGUYEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
331 S RIO GRANDE ST, SALT LAKE CITY, UT 84101-1136
(801) 485-8051
Mailing address
605 S 1300 E, SALT LAKE CITY, UT 84102-3206
(206) 919-0891

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
08/04/2023
Last updated
08/04/2023
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