Individual
AMANDA CAROL SIEGWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5937 S REDWOOD RD, TAYLORSVILLE, UT 84123-5254
(770) 827-7778
Mailing address
5937 S REDWOOD RD, TAYLORSVILLE, UT 84123-5254
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/26/2022
Last updated
07/26/2022
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