Individual
LIESL REBECCA HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1020 S MAIN ST, SALT LAKE CITY, UT 84101-3176
(801) 539-7000
Mailing address
3725 W 4100 S STE 201, WEST VALLEY CITY, UT 84120-5427
(801) 467-3725
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
13559369-3502
UT
Other
Enumeration date
04/26/2022
Last updated
11/06/2025
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