Organization
ANNE FREED LCSW LLC
Active
Other names
Anne Freed LCSW LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE F GOLDBERG MSW, LCSW (OWNER)
(801) 556-2430
Entity
Organization
Contact information
Practice address
4505 S WASATCH BLVD STE 320, SLC, UT 84124-4755
(801) 556-2430
(801) 277-8800
Mailing address
4505 S WASATCH BLVD STE 320, SLC, UT 84124-4755
(801) 556-2430
(801) 277-8800
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47411233501
LICENSE NUMBER
UT
Enumeration date
04/04/2020
Last updated
05/13/2020
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