Individual
LESLIE ANN VANDEMERWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
625 E 8400 S, SANDY, UT 84070-0525
(801) 566-2556
(801) 566-2639
Mailing address
6769 S 2795 W, WEST JORDAN, UT 84084-1948
(801) 548-7173
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
293367-6004
UT
Other
Enumeration date
10/17/2008
Last updated
10/17/2008
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