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Individual

MICHELLE ANKLAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
159 W BROADWAY # 200-201, SALT LAKE CITY, UT 84101-1907
(385) 202-6104
Mailing address
159 W BROADWAY # 200-201, SALT LAKE CITY, UT 84101-1907
(385) 202-6104

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11169782-3502
UT

Other

Enumeration date
10/05/2020
Last updated
06/14/2022
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