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Individual

ELISABETH THOMAS LILJA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW,LCSW,RYT

Contact information

Practice address
3570 E PALISADE DR, SALT LAKE CITY, UT 84109-2315
(801) 842-6234
Mailing address
3570 E PALISADE DR, SALT LAKE CITY, UT 84109-2315
(801) 842-6234

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10854740-3501
UT

Other

Enumeration date
11/30/2020
Last updated
11/30/2020
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