| Lisa Rector, Lcsw | |
|
4505 S Wasatch Blvd Suite 190 Salt Lake City UT 84124-4709 | |
| (801) 870-4812 | |
| Not Available |
| Full Name | Lisa Rector, Lcsw |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4505 S Wasatch Blvd, Salt Lake City, Utah |
| Authorized Official Name and Position | Lisa M Rector (OWNER) |
| Authorized Official Contact | 8018704812 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Rector, Lcsw 4505 S Wasatch Blvd Suite 190 Salt Lake City UT 84124-4709 Ph: (801) 870-4812 | Lisa Rector, Lcsw 4505 S Wasatch Blvd Suite 190 Salt Lake City UT 84124-4709 Ph: (801) 870-4812 |
| NPI Number | 1932519584 |
|---|---|
| Provider Enumeration Date | 05/05/2014 |
| Last Update Date | 05/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932519584 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6502434-3501 (Utah) | Primary |
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