Individual
MRS. AMANDA GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
1204 W SOUTH JORDAN PKWY STE B, SOUTH JORDAN, UT 84095-4612
(801) 302-3801
(801) 302-7248
Mailing address
1408 W 10250 S, SOUTH JORDAN, UT 84095-8844
(801) 664-1089
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10383610-3502
UT
Other
Enumeration date
10/24/2017
Last updated
10/24/2017
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