Individual
MS. LINDA K. LASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
262 E 3900 S, SUITE 120, SALT LAKE CITY, UT 84107-1550
(801) 560-5499
Mailing address
2494 KENSINGTON AVE, SALT LAKE CITY, UT 84108-2416
(801) 582-1125
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
345136-3501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03451363502001
BLUE CROSS
UT
Enumeration date
12/31/2005
Last updated
02/09/2012
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