| NPI | 1073268470 |
|---|---|
| Doing Business As | DEREK CRAGUN, LCSW |
| Entity Type | Organization |
| Authorized Contact | DEREK CRAGUN Owner 801-875-7534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-02-15 |
| Last Update Date | 2022-02-15 |