Individual
MS. AMY ADRELL EARLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
500 FOOTHILL DR, SALT LAKE CITY, UT 84148-0001
(801) 746-5561
(801) 584-1237
Mailing address
500 FOOTHILL DR, SALT LAKE CITY, UT 84148-0001
(801) 746-5561
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
5675328-3502
UT
1041C0700X
Clinical Social Worker
Primary
56753283501
UT
Other
Enumeration date
06/23/2006
Last updated
04/09/2009
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