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Individual

AMY QUESENBERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
880 E 3375 S, SALT LAKE CITY, UT 84106-1536
(801) 428-3410
Mailing address
540 W 7425 S, WILLARD, UT 84340-9202

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
11/23/2011
Last updated
11/23/2011
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