Larsen, Leslie Anne
Larsen, Leslie Anne is an individual health care provider with primary practice located at 1141 E 3900 S #250-A, Salt Lake City UT 84124-1215. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Larsen, Leslie Anne can be contacted via phone (801) 284-4915.Contact Information
Primary practice address
1141 E 3900 S #250-A
Salt Lake City UT 84124-1215
Phone: (801) 284-4915
Fax: (801) 284-4901
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 136415-3501 | Utah |
Profile Details
| NPI number | 1457321259 |
|---|---|
| LBN Legal business name | Larsen, Leslie Anne |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2006 |
| Last updated | Aug 8th, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457321259 | NPPES |
| Utah | Other | 136415-3501 | DOPL NUMBER |
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