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Individual

GRETCHEN ANSTADT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1760 W 4805 S, TAYLORSVILLE, UT 84129-1177
(801) 955-9110
Mailing address
2583 E WILLOW HILLS DR, SANDY, UT 84093-1801
(269) 830-5225

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
104100000X
UT
Enumeration date
08/15/2017
Last updated
08/15/2017
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