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Individual

AMBER B WILLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D., LMFT

Contact information

Practice address
986 W ATHERTON DR, 270, SALT LAKE CITY, UT 84123-6887
(801) 693-1192
Mailing address
986 W ATHERTON DR, 270, SALT LAKE CITY, UT 84123-6887
(801) 693-1192

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
334196-3904
UT

Other

Enumeration date
12/03/2009
Last updated
04/27/2016
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