Individual
MAGGI LEAVITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
43 E 640 S, EPHRAIM, UT 84627-3029
(801) 427-5436
(801) 427-5436
Mailing address
43 E 640 S, EPHRAIM, UT 84627-3029
(801) 427-5436
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
5040273-3902
UT
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/08/2013
Last updated
03/17/2018
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