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General NPI Number Information
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NPI Number | 1760893655
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Entity Type | Individual
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Provider Name | LAURA MOHLMAN LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/13/2014
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Last Update Date | 07/11/2025
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Provider Practice Location Address
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Address Line | 154 E MYRTLE AVE STE 204
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City | MURRAY
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State | UT
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Zip | 84107-4850
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Country | US
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Telephone | 801-369-8989
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Fax |
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Provider Business Mailing Address
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Address Line | 35 W CENTER ST UNIT 8110
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City | MIDVALE
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State | UT
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Zip | 84047-6839
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Country | US
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Telephone | 801-885-8132
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904013133
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 19650
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 19683
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 117526
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LW61503413
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License Number State | WA
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Taxonomy #6
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 7010360-3501
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License Number State | UT
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