Elisabeth Thomas Lilja, MSW,LCSW,RYT
Social Worker, Clinical in Salt Lake City, UT. Individual provider (NPI-1).
NPI number1982209946
StatusActive
Last updated in NPPESNov 30, 2020
Details
- NPI
- 1982209946
- Entity type
- Individual (NPI-1)
- Name
- Elisabeth Thomas Lilja
- Credential
- MSW,LCSW,RYT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 30, 2020
- Certification date
- Nov 10, 2020
- Last updated
- Nov 30, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 10854740-3501 | UT | Yes |
Practice location
3570 E Palisade DrSalt Lake City, UT 84109-2315
Phone 801-842-6234
Mailing address
3570 E Palisade DrSalt Lake City, UT 84109-2315
Phone 801-842-6234
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