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Individual

NEFILY LEDEZMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMFT

Contact information

Practice address
934 S MAIN ST, LAYTON, UT 84041-7135
(801) 773-7060
(801) 336-1787
Mailing address
934 S MAIN ST, LAYTON, UT 84041-7135
(801) 773-7060
(801) 336-1787

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
8698654-3902
UT
106H00000X
Marriage & Family Therapist
86986543902
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
HT002258.002
UT
Enumeration date
06/21/2017
Last updated
09/07/2021
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