Derek Cragun, Lcsw Pllc

NPI #1073268470 in Salt Lake City, Utah

Provider Information

NPI Number: 1073268470
Entity Type: Organization
Organization Name: Derek Cragun, Lcsw Pllc
Primary Specialty: Social Worker - Clinical
Enumeration Date: Feb 15, 2022
Last Updated: Feb 15, 2022

Practice Location

Address: 169 E KELSEY AVE
City: Salt Lake City
State: Utah
ZIP Code: 84111-4508
Phone: (801) 875-7534

Authorized Official

Name: DEREK CRAGUN, LCSW
Title: OWNER
Phone: (801) 875-7534

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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