Individual
VEDANA LEIDY GAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
149 N 1200 E STE 140, LEHI, UT 84043-2247
(801) 251-6339
Mailing address
149 N 1200 E STE 140, LEHI, UT 84043-2247
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
13438685-3502
UT
106S00000X
Behavior Technician
—
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396085718
—
UT
Enumeration date
11/04/2020
Last updated
06/13/2023
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