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Individual

ANDREA HEART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPC-I

Contact information

Practice address
1578 W 1700 S, SALT LAKE CITY, UT 84104-3470
(801) 972-2711
(801) 972-2709
Mailing address
2013 W 8350 S, WEST JORDAN, UT 84088-2422
(801) 972-2711
(801) 972-2709

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
69671536009
UT

Other

Enumeration date
06/22/2010
Last updated
06/22/2010
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