Individual
MR. GEORGE ALFRED LEBOEUF III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, LMT
Contact information
Practice address
57 W 9000 S STE 104, SANDY, UT 84070-2008
(385) 722-4431
Mailing address
57 W 9000 S # 104, SANDY, UT 84070-2008
(385) 722-4431
(844) 835-0202
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13946847-3501
UT
1041C0700X
Clinical Social Worker
16063
CT
1041C0700X
Clinical Social Worker
SWB-2025-1293
NM
225700000X
Massage Therapist
13946847-4701
UT
Other
Enumeration date
06/26/2024
Last updated
04/13/2026
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