Individual
MS. LESLIE MERRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
745 E 300 S, SALT LAKE CITY, UT 84102-2256
(801) 428-1301
Mailing address
745 E 300 S, SALT LAKE CITY, UT 84102-2256
(801) 428-1301
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2003663502
UT
Other
Enumeration date
02/20/2013
Last updated
02/20/2013
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