Individual
DAISY ELIZABETH MAE LAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACMHC
Contact information
Practice address
411 N GRANT ST, SALT LAKE CITY, UT 84116-2725
(801) 359-8862
Mailing address
440 S 500 E, SALT LAKE CITY, UT 84102-2705
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
114575386009
UT
Other
Enumeration date
10/03/2019
Last updated
10/03/2019
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