Individual
MRS. LESLIE M. WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
4190 HIGHLAND DR STE 210, SALT LAKE CITY, UT 84124-2674
(801) 278-8859
(801) 278-8504
Mailing address
4190 HIGHLAND DR STE 210, SALT LAKE CITY, UT 84124-2674
(801) 278-8859
(801) 278-8504
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
122349-3501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122349-3501
CLINICAL SOCIAL WORKER
UT
Enumeration date
10/11/2006
Last updated
07/08/2007
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