Individual
MRS. LEILANI ANNE TAHOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1578 W 1700 S, #200, SALT LAKE CITY, UT 84104-3470
(801) 972-2711
(801) 972-2709
Mailing address
1578 W 1700 S, #200, SALT LAKE CITY, UT 84104-3470
(801) 972-2711
(801) 972-2709
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1368343501
UT
Other
Enumeration date
07/10/2010
Last updated
07/10/2010
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