| Thomas Laskowski | |
|
1174 E Graystone Way Ste 6 Salt Lake City UT 84106-2671 | |
| (801) 696-5538 | |
| (385) 319-7377 |
| Full Name | Thomas Laskowski |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1174 E Graystone Way Ste 6, Salt Lake City, Utah |
| Authorized Official Name and Position | Thomas Laskowski (MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 8016965538 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Laskowski 10402 S Weeping Willow Dr Sandy UT 84070-4244 Ph: (801) 696-5538 | Thomas Laskowski 1174 E Graystone Way Ste 6 Salt Lake City UT 84106-2671 Ph: (801) 696-5538 |
| NPI Number | 1306382080 |
|---|---|
| Provider Enumeration Date | 01/18/2017 |
| Last Update Date | 07/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306382080 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LIC2016-03807 (Utah) | Primary |
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