Individual
AMANDA CASTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
450 S 100 W, PROVIDENCE, UT 84332-9741
(701) 202-4022
Mailing address
450 S 100 W, PROVIDENCE, UT 84332-9741
(701) 202-4022
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
14203498-3502
UT
Other
Enumeration date
02/19/2025
Last updated
02/19/2025
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