Individual
LILLY LANDIKUSIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
75 E FORT UNION BLVD STE 135, MIDVALE, UT 84047-1531
(801) 603-2547
(801) 649-0964
Mailing address
PO BOX 12842, OGDEN, UT 84412-2842
(801) 695-1316
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
326490-3902
UT
Other
Enumeration date
02/06/2008
Last updated
11/16/2023
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