Individual
MRS. AMANDA ELIZABETH GHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
500 FOOTHILL DR, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Mailing address
500 FOOTHILL DR, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10128
TN
1041C0700X
Clinical Social Worker
Primary
12417419-3501
UT
Other
Enumeration date
01/29/2015
Last updated
03/29/2026
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