Lesley Mathisen

NPI #1013465301 in Salt Lake City, Utah

Provider Information

NPI Number: 1013465301
Entity Type: Individual
Name: Lesley Mathisen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Enumeration Date: Sep 14, 2016
Last Updated: Sep 14, 2016

Practice Location

Address: 4460 S HIGHLAND DR
Address 2: SUITE 230
City: Salt Lake City
State: Utah
ZIP Code: 84124-3543
Phone: (888) 949-4864

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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