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Individual

AMY GILLESPIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
613 E FORT UNION BLVD STE 104, MIDVALE, UT 84047-5531
(801) 984-1717
(801) 984-1720
Mailing address
613 E FORT UNION BLVD STE 104, MIDVALE, UT 84047-5531
(801) 984-1717
(801) 984-1720

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7414657-3501
UT

Other

Enumeration date
10/08/2009
Last updated
04/17/2019
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