Individual
ALLIE LEEZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
115 GOLF COURSE RD STE E, LOGAN, UT 84321-5934
(435) 799-5035
Mailing address
647 E 720 N, SMITHFIELD, UT 84335-6781
(931) 255-0308
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
13005710-3502
UT
Other
Enumeration date
02/22/2024
Last updated
02/22/2024
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