Individual
AMANDA CROSLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
95 GOLF COURSE RD STE 105, LOGAN, UT 84321-5990
(435) 915-6398
Mailing address
95 GOLF COURSE RD STE 105, LOGAN, UT 84321-5990
(435) 915-6398
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
13074528-3502
UT
Other
Enumeration date
05/11/2020
Last updated
03/13/2024
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