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1336449081
LISA MICHELLE LEAVITT
PROVO, UT
NPI
1336449081
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: UT 6096071-2501)
Enumeration Date
2010-10-28
Last Update Date
2010-10-28
Business Address
Ms. LISA MICHELLE LEAVITT PhD
1500 WSC BRIGHAM YOUNG UNIVERSITY
PROVO, UT 84602
Phone number: 801-422-3035
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Mailing Address
Ms. LISA MICHELLE LEAVITT PhD
1500 WSC BRIGHAM YOUNG UNIVERSITY
PROVO, UT 84602
Phone number: 801-422-3035
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