Individual
CAROLINE AMIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSAC
Contact information
Practice address
450 S 900 E, SALT LAKE CITY, UT 84102-2981
(801) 587-2770
(801) 355-4607
Mailing address
42 S 500 E, SALT LAKE CITY, UT 84102-1002
(801) 428-3419
(801) 355-4607
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7210961-3501
UT
Other
Enumeration date
06/03/2010
Last updated
05/21/2021
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