Krystal Mitchell Leaaetoa

NPI #1073877767 in Springville, Utah

Provider Information

NPI Number: 1073877767
Entity Type: Individual
Name: Krystal Mitchell Leaaetoa
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Jun 27, 2012
Last Updated: Jun 27, 2012

Practice Location

Address: 1672 W 700 S
Address 2: SUITE D
City: Springville
State: Utah
ZIP Code: 84663-4963
Phone: (801) 489-9721

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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