Individual
CAROLYN SASICH LEITKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1250 E 3900 S, SUITE 260, SALT LAKE CITY, UT 84124-1348
(801) 265-2000
(801) 265-2008
Mailing address
1250 EAST 3900 SOUTH, SUITE 260, SALT LAKE CITY, UT 84124-1371
(801) 265-2000
(801) 265-2008
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1382683501
UT
Other
Enumeration date
07/24/2006
Last updated
07/09/2007
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