Individual
LAURA REBECCA GENGLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
1273 W 12600 S STE 403, RIVERTON, UT 84065-7111
(801) 930-0411
Mailing address
1273 W 12600 S STE 403, RIVERTON, UT 84065-7111
(801) 930-0411
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10858694-3502
UT
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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