Organization
ANAM CARA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JAN REDENBAUGH MAGDALEN LCSW (PRESIDENT)
(801) 582-2705
Entity
Organization
Contact information
Practice address
2071 ASHTON CIR, SALT LAKE CITY, UT 84109-1103
(801) 582-2705
Mailing address
2071 ASHTON CIR, SALT LAKE CITY, UT 84109-1103
(801) 582-2705
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
135045-3501
UT
Other
Enumeration date
07/15/2008
Last updated
08/11/2008
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