Individual
ELIZABETH LEITHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
1220 N MAIN ST STE 2, SPRINGVILLE, UT 84663-4014
(801) 821-4061
Mailing address
205 N 825 E, AMERICAN FORK, UT 84003-2031
(801) 718-9460
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10538416-3502
UT
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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