Individual
ANDREW LEE HEMINGWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1525 W 2100 S, SALT LAKE CITY, UT 84119-1407
(801) 213-9767
Mailing address
6333 S CASTLEFORD DR, WEST JORDAN, UT 84084-6273
(801) 979-4008
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10895068-3501
UT
Other
Enumeration date
04/01/2021
Last updated
12/10/2021
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