Provider Demographics
NPI:1710246350
Name:LEBARON, HANNA (MSWI)
Entity Type:Individual
Prefix:
First Name:HANNA
Middle Name:
Last Name:LEBARON
Suffix:
Gender:F
Credentials:MSWI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:607 E. KIRBY LANE
Mailing Address - Street 2:
Mailing Address - City:SPANISH FORK
Mailing Address - State:UT
Mailing Address - Zip Code:84660-1368
Mailing Address - Country:US
Mailing Address - Phone:801-852-3805
Mailing Address - Fax:
Practice Address - Street 1:607 E. KIRBY LANE
Practice Address - Street 2:
Practice Address - City:SPANISH FORK
Practice Address - State:UT
Practice Address - Zip Code:84660-1368
Practice Address - Country:US
Practice Address - Phone:801-852-3805
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-15
Last Update Date:2012-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker