Individual
AIMEE THERESA VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
1760 W 4805 S, SALT LAKE CITY, UT 84118-1177
(801) 955-9110
Mailing address
1760 W 4805 S, SALT LAKE CITY, UT 84118-1177
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7712208-3502
UT
Other
Enumeration date
07/06/2010
Last updated
07/06/2010
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