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Individual

AMY V DAESCHEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW, LASUDC

Contact information

Practice address
117 W 400 S, SALT LAKE CITY, UT 84101-1916
(801) 428-4257
Mailing address
344 E 100 S, SALT LAKE CITY, UT 84111-1700
(801) 666-9593

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
13520970-6008
UT
1041C0700X
Clinical Social Worker
Primary
13520970-3502
UT
1041C0700X
Clinical Social Worker
Primary
14283997-3501
UT

Other

Enumeration date
02/28/2019
Last updated
04/25/2026
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