Individual
MS. LEAH RAQUEL KLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
814 BAMBERGER DR, SUITE A, AMERICAN FORK, UT 84003-2165
(801) 772-0202
Mailing address
1366 S 1140 E, OREM, UT 84097-6640
(801) 372-0545
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
49056016004
UT
103TS0200X
School Psychologist
24537
UT
Other
Enumeration date
10/19/2011
Last updated
10/19/2011
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