Leavitt, Dawn
Leavitt, Dawn is an individual health care provider with primary practice located at 1141 E 3900 S Suite A128, 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. Leavitt, Dawn can be contacted via phone (801) 293-7422.Contact Information
Primary practice address
1141 E 3900 S Suite A128
Salt Lake City UT 84124-1215
Phone: (801) 293-7422
Fax: (801) 293-7425
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 131670-3501 | Utah |
Profile Details
| NPI number | 1720067275 |
|---|---|
| LBN Legal business name | Leavitt, Dawn |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2006 |
| Last updated | Dec 4th, 2014 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720067275 | NPPES |
| Utah | Other | 26194 | DESERET MUTUAL |
| Utah | Other | 107032394101 | DESERET MUTUAL |
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