Individual
MR. ANDREW C SIDOLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW, LADAC
Contact information
Practice address
10459 WEST 1300 SOUTH, #102, SALT LAKE CITY, UT 84095
(801) 413-7683
Mailing address
2220 E MURRAY HOLLADAY RD APT 6, SALT LAKE CITY, UT 84117-5314
(505) 504-0260
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
10084958-3501
UT
1041C0700X
Clinical Social Worker
103202
CA
1041C0700X
Clinical Social Worker
Primary
M-08108
NM
Other
Enumeration date
03/24/2010
Last updated
10/24/2022
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