Individual
BRIANNA R LEAVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
350 S MAIN ST # 104, SALT LAKE CITY, UT 84101-2106
(801) 895-2575
Mailing address
8258 S BRYCE DR, SANDY, UT 84070-0454
(801) 746-9131
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13742226-3501
UT
Other
Enumeration date
01/12/2024
Last updated
01/12/2024
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