Individual
MRS. HERTA AUDREY CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
313 E 1200 S, STE 101, OREM, UT 84058-6972
(801) 310-0849
(801) 221-0755
Mailing address
313 E 1200 S, STE 101, OREM, UT 84058-6972
(801) 310-0849
(801) 221-0755
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
140057-3501
UT
Other
Enumeration date
03/16/2007
Last updated
02/05/2016
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