Larsen, Leslie Anne

Larsen, Leslie Anne is an individual health care provider with primary practice located at 1141 E 3900 S #250-A, Salt Lake City UT 84124-1215. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Larsen, Leslie Anne can be contacted via phone (801) 284-4915.

Contact Information

Primary practice address
1141 E 3900 S #250-A Salt Lake City UT 84124-1215
Phone: (801) 284-4915
Fax: (801) 284-4901
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 136415-3501 Utah

Profile Details

NPI number 1457321259
LBN Legal business name Larsen, Leslie Anne
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Aug 8th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457321259 NPPES
Utah Other 136415-3501 DOPL NUMBER

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