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Individual

AMANDA RUIZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CSW

Contact information

Practice address
580 E 600 S, PROVO, UT 84606-4806
(801) 373-4760
Mailing address
750 N FREEDOM BLVD, PROVO, UT 84601-1677

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
14222670-3502
UT
1041C0700X
Clinical Social Worker
Primary
14222670-3502
UT

Other

Enumeration date
05/30/2023
Last updated
05/11/2026
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