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Individual

MS. AMANDA JANE WISSLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2078 PROSPECTOR AVE STE 1, PARK CITY, UT 84060-7587
(801) 448-8264
Mailing address
6749 N 2200 W APT B103, PARK CITY, UT 84098-8305
(801) 448-8264

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5869457-3501
UT

Other

Enumeration date
09/17/2015
Last updated
05/10/2022
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