Individual
MS. DAWN LEAVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1141 E 3900 S, SUITE A128, SALT LAKE CITY, UT 84124-1215
(801) 293-7422
(801) 293-7425
Mailing address
218 E 7615 S, MIDVALE, UT 84047-2626
(801) 561-4776
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
131670-3501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107032394101
INTRMTN. HEALTH CARE
UT
01
—
26194
DESERET MUTUAL
UT
Enumeration date
01/12/2006
Last updated
12/04/2014
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