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NPI 1962075655

IndividualActive

Laecie Horn, FOUNDER

NPI 1962075655 · Prevention Professional · Sandy, UT

Provider details

NPI number: 1962075655
Entity type: Individual
Primary specialty: Prevention ProfessionalOther Service Providers
Credential: FOUNDER
Sex: Female
Sole proprietor: Yes
License: 215419110216 (UT)

Practice location

11613 S Sunburn Cir

Sandy, UT 84094-5523

Phone: (801) 674-6367

More UT providers

Mailing address

11613 S Sunburn Cir

Sandy, UT 84094-5523

Registry dates

Enumerated: 2021-07-20
Last updated: 2024-02-03

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Laecie Horn, FOUNDER — NPI 1962075655, Sandy, UT | NPI Central