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Individual

REBECCA A ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CSW

Contact information

Practice address
3726 E CAMPUS DR STE H, EAGLE MOUNTAIN, UT 84005-4514
(801) 789-7780
(801) 789-7700
Mailing address
3726 E CAMPUS DR STE H, EAGLE MOUNTAIN, UT 84005-4514
(801) 789-7780
(801) 789-7700

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10971916-3502
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10971916-3502
PROFESSIONAL LICENSE
UT
Enumeration date
12/27/2018
Last updated
12/27/2018
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