Individual
BRIAN ZACHARY ANDELIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
344 E 100 S, SALT LAKE CITY, UT 84111-1700
(801) 322-3222
Mailing address
344 E 100 S, SALT LAKE CITY, UT 84111-1700
(801) 322-3222
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7353518-3501
UT
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
10/31/2018
Last updated
07/21/2021
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