Individual
MS. LEEANN WASHATKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7321 BALMER ST BLDG 570, HILL AFB, UT 84056-5012
(801) 777-7909
Mailing address
7321 BALMER ST BLDG 570, HILL AFB, UT 84056-5012
(801) 777-7909
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6016594-3501
UT
Other
Enumeration date
04/02/2007
Last updated
02/10/2025
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