Individual
AMANDA RAVEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
5284 S COMMERCE DR STE C134, MURRAY, UT 84107-5360
(801) 266-4643
(801) 266-4775
Mailing address
5284 S COMMERCE DR STE C134, MURRAY, UT 84107-5360
(801) 266-4643
(801) 266-4775
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11275792-3502
UT
Other
Enumeration date
08/17/2017
Last updated
09/17/2019
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