Provider Demographics
NPI:1184119877
Name:LUQUIN, CELIA
Entity type:Individual
Prefix:
First Name:CELIA
Middle Name:
Last Name:LUQUIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12447 S CROSSING DR STE 13
Mailing Address - Street 2:
Mailing Address - City:RIVERTON
Mailing Address - State:UT
Mailing Address - Zip Code:84096-7020
Mailing Address - Country:US
Mailing Address - Phone:801-984-0184
Mailing Address - Fax:801-984-0186
Practice Address - Street 1:39 PROFESSIONAL WAY STE 2
Practice Address - Street 2:
Practice Address - City:PAYSON
Practice Address - State:UT
Practice Address - Zip Code:84651-1677
Practice Address - Country:US
Practice Address - Phone:801-658-0098
Practice Address - Fax:801-984-0186
Is Sole Proprietor?:No
Enumeration Date:2018-06-26
Last Update Date:2018-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker