Individual
GEORGETTE LEVENTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1510 S 1400 E, SALT LAKE CITY, UT 84105-2626
(801) 230-5634
Mailing address
1510 S 1400 E, SALT LAKE CITY, UT 84105-2626
(801) 230-5634
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
378061-3501
UT
Other
Enumeration date
06/02/2021
Last updated
06/02/2021
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