Individual
MATYSEN LEONE EVENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
880 HERITAGE PARK BLVD STE 230, LAYTON, UT 84041-5675
(385) 393-4057
Mailing address
644 VALERIA DR, LAYTON, UT 84041-3312
(385) 505-3739
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/24/2024
Last updated
05/24/2024
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