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1376168526
LETICIA SOARES TOMAZ
RIVERDALE, UT
NPI
1376168526
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 12462647-3501)
Enumeration Date
2020-06-13
Last Update Date
2023-08-16
Business Address
LETICIA SOARES TOMAZ LCSW
5125 S 1500 W
RIVERDALE, UT 84405-3926
Phone number: 801-875-2892
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Mailing Address
LETICIA SOARES TOMAZ LCSW
1045 S OREM BLVD
OREM, UT 84058-6979
Phone number: 801-875-2892
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