Liese, Gail Joanne
Liese, Gail Joanne is an individual health care provider with primary practice located at 7309 S 180 W , Midvale UT 84047-1020. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Liese, Gail Joanne can be contacted via phone (801) 565-6800.Contact Information
Primary practice address
7309 S 180 W
Midvale UT 84047-1020
Phone: (801) 565-6800
Fax: (801) 569-9718
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 2708742501 | Utah |
Profile Details
| NPI number | 1235100413 |
|---|---|
| LBN Legal business name | Liese, Gail Joanne |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 27th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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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