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1417138710
LESLIE BROSIUS
MIDVALE, UT
NPI
1417138710
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 55459253501)
Enumeration Date
2007-11-15
Last Update Date
2012-08-08
Business Address
-- LESLIE BROSIUS L. C. S. W
7434 S STATE ST
MIDVALE, UT 84047-2014
Phone number: 801-566-4423
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Mailing Address
-- LESLIE BROSIUS L. C. S. W
7434 S STATE ST
MIDVALE, UT 84047-2014
Phone number: 801-566-4423
Copy
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