Individual
MS. LESLIE GUDRUN CZERWINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACMHC
Contact information
Practice address
1753 SIDEWINDER DR, PARK CITY, UT 84060-7322
(435) 649-8347
(435) 649-2157
Mailing address
5965 S 900 E, MURRAY, UT 84121-1720
(801) 263-7138
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8848010-6009
UT
Other
Enumeration date
11/08/2013
Last updated
11/08/2013
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