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1063817005
LORII ANN HUBBARD
LOGAN, UT
NPI
1063817005
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: UT 8340888-3501)
Enumeration Date
2014-11-04
Last Update Date
2017-03-22
Business Address
LORII ANN HUBBARD LCSW
2616 BLACK WALNUT DR
LOGAN, UT 84341-1643
Phone number: 435-890-9323
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Mailing Address
LORII ANN HUBBARD LCSW
95 W 100 S STE 104
LOGAN, UT 84321-4551
Phone number: 435-890-9323
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