Individual
SHARON LEAVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
750 N 200 W, PROVO, UT 84601-1677
(801) 373-4760
Mailing address
750 N 200 W, PROVO, UT 84601-1677
(801) 373-4760
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
F21-103121
UT
Other
Enumeration date
01/05/2022
Last updated
03/26/2025
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