Individual
MRS. LAURA MAE OWEN-KEIRSTEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1670 E 1475 S, OGDEN, UT 84404-6009
(801) 394-4547
Mailing address
1670 E 1475 S, OGDEN, UT 84404-6009
(801) 394-4547
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
136614-6004
UT
104100000X
Social Worker
136614-3503
UT
Other
Enumeration date
07/20/2011
Last updated
07/20/2011
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