Individual
MRS. GAILIA ANN LARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
5965 S 900 E STE 100, MURRAY, UT 84121-1850
(801) 872-5516
(801) 212-9942
Mailing address
245 E GORDON LN APT 21, MILLCREEK, UT 84107-3102
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
14195871-3502
UT
1041C0700X
Clinical Social Worker
Primary
14195871-3501
UT
Other
Enumeration date
09/21/2022
Last updated
03/16/2026
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