Organization
AMY HENDERSON LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY HENDERSON LCSW (PRESIDENT)
(801) 698-3294
Entity
Organization
Contact information
Practice address
4055 S 700 E STE 102A, SALT LAKE CITY, UT 84107-2174
(801) 698-3294
Mailing address
4055 S 700 E STE 102A, SALT LAKE CITY, UT 84107-2174
(801) 698-3294
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/03/2019
Last updated
04/03/2019
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