Individual
AMY I GAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5242 S 4820 W, KEARNS, UT 84118-6422
(801) 966-4251
(801) 966-4289
Mailing address
5242 S 4820 W, KEARNS, UT 84118-6422
(801) 966-4251
(801) 966-4289
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
72471
MT
1041C0700X
Clinical Social Worker
Primary
9039386-3501
UT
Other
Enumeration date
09/16/2013
Last updated
10/27/2025
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