Individual
AMANDA MARIE ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1200 E 3900 S, SALT LAKE CITY, UT 84124-1300
(801) 971-3734
Mailing address
1115 S 900 E, SALT LAKE CITY, UT 84105-1323
(801) 991-3734
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10406679-3501
UT
Other
Enumeration date
10/02/2020
Last updated
10/02/2020
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