Individual
AANIKA J EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
94 E PAGES LN STE A, CENTERVILLE, UT 84014-2216
(801) 294-0578
(801) 298-2147
Mailing address
94 E PAGES LN STE A, CENTERVILLE, UT 84014-2216
(801) 294-0578
(801) 298-2147
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
70986033501
UT
Other
Enumeration date
02/07/2013
Last updated
02/07/2013
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