Individual
GRACE ANGELA LONGAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 W 1400 N, LOGAN, UT 84341-6811
(435) 752-5302
Mailing address
10305 S ASHLEY MESA LN, SANDY, UT 84092-6115
(801) 541-6731
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
14237142-3503
UT
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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