Individual
LESLIE PRATT ECKFORD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN, LCSW
Contact information
Practice address
4460 HIGHLAND DR, SALT LAKE CITY, UT 84124-3550
(801) 273-1085
Mailing address
720 12TH AVE, SALT LAKE CITY, UT 84103-3228
(801) 578-0534
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2190823501
UT
Other
Enumeration date
02/06/2006
Last updated
07/08/2007
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