Organization
BUFFALO WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KASANDRA LUNDQUIST LCSW (OWNER)
(406) 239-0401
Entity
Organization
Contact information
Practice address
3486 S SORENSON WAY, SALT LAKE CITY, UT 84109-3114
(406) 239-0401
Mailing address
3486 S SORENSON WAY, SALT LAKE CITY, UT 84109-3114
(406) 239-0401
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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