Individual
DEANNA LEE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5411 S VINE ST UNIT 6, SALT LAKE CITY, UT 84107-7746
(435) 625-1717
Mailing address
6867 S MEADOW DOWNS WAY, SALT LAKE CITY, UT 84121-2807
(801) 358-2127
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10834624-3501
UT
Other
Enumeration date
04/16/2018
Last updated
10/14/2020
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