Individual
MR. LELAND W MESSERSMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
58 S 950 W, BRIGHAM CITY, UT 84302-4424
(801) 698-8119
Mailing address
306 N 1500 E, LAYTON, UT 84040-4558
(801) 698-8119
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
77349613501
UT
1041C0700X
Clinical Social Worker
7756277-3506
UT
Other
Enumeration date
06/18/2010
Last updated
01/29/2013
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