Individual
LESA A SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, CSW
Contact information
Practice address
1050 E 3300 S, MILLCREEK, UT 84106-2184
(801) 645-5455
Mailing address
533 26TH ST STE 100, OGDEN, UT 84401-2459
(801) 645-5455
(801) 394-0394
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
112856303502
UT
Other
Enumeration date
10/24/2017
Last updated
09/15/2023
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