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Individual

EVELYN LIEBES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
19 W CENTER ST STE 201, LOGAN, UT 84321-5803
(801) 393-6232
(801) 393-4081
Mailing address
2240 N HWY 89 STE C, HARRISVILLE, UT 84404-2824
(801) 393-6232
(801) 393-4081

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
689
UT

Other

Enumeration date
10/12/2018
Last updated
10/12/2018
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