ILENE F LAZENBY

LOGAN, UT
NPI1639651516
Former NameILENE FRANCES INMAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  11841805-3502)
Additional Taxonomies1041C0700X Social Worker, Clinical
Enumeration Date2018-09-06
Last Update Date2023-05-30
Business Address
ILENE F LAZENBY
90 E 200 N
LOGAN, UT 84321-4034
Phone number: 435-752-0750
Mailing Address
ILENE F LAZENBY
1670 E 440 S
PRICE, UT 84501-3765
Phone number: 801-502-5034