Individual
LAECIE LAREE HORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FOUNDER
Contact information
Practice address
11613 S SUNBURN CIR, SANDY, UT 84094-5523
(801) 674-6367
Mailing address
11613 S SUNBURN CIR, SANDY, UT 84094-5523
(801) 674-6367
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
215419110216
UT
Other
Enumeration date
07/20/2021
Last updated
02/03/2024
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