MIMI GORDON-LEVINE

SALT LAKE CITY, UT
NPI1063485399
Entity TypeIndividual
GenderFemale
Sole Proprietor ?
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: UT  941409633501)
Enumeration Date2006-02-08
Last Update Date2007-07-08
Business Address
MIMI GORDON-LEVINE LCSW
1141 E 3900 S STE A160
SALT LAKE CITY, UT 84124-1215
Phone number: 801-264-2325
Mailing Address
MIMI GORDON-LEVINE LCSW
1141 E 3900 S STE A160
SALT LAKE CITY, UT 84124-1215
Phone number: 801-264-2325