Individual
LAURA N SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
817 W 950 S, BRIGHAM CITY, UT 84302-3071
(435) 792-6500
Mailing address
655 E 1300 N, LOGAN, UT 84341-2570
(435) 792-6500
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11197731-3503
UT
171M00000X
Case Manager/Care Coordinator
F25-118848
UT
Other
Enumeration date
05/06/2025
Last updated
05/06/2025
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