Individual
AMBER SIDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
230 N 1680 E STE T2, ST GEORGE, UT 84790-2573
(435) 218-5953
Mailing address
30 N MAIN ST, IVINS, UT 84738-6162
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5342993-3502
UT
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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