| Lisa Boice Lcsw | |
|
4064 S Highland Dr Millcreek UT 84124-1617 | |
| (385) 290-9852 | |
| Not Available |
| Full Name | Lisa Boice Lcsw |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4064 S Highland Dr, Millcreek, Utah |
| Authorized Official Name and Position | Lisa Boice (OWNER) |
| Authorized Official Contact | 3852909852 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Boice Lcsw 3407 S 715 E Salt Lake City UT 84106-1597 Ph: () - | Lisa Boice Lcsw 4064 S Highland Dr Millcreek UT 84124-1617 Ph: (385) 290-9852 |
| NPI Number | 1205557188 |
|---|---|
| Provider Enumeration Date | 09/08/2022 |
| Last Update Date | 11/17/2022 |
| Certification Date | 11/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205557188 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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