Individual
AMY KERSHISNIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
345 E 4500 S STE 260, MURRAY, UT 84107-3954
(801) 747-3556
Mailing address
345 E 4500 S STE 260, MURRAY, UT 84107-3954
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
73645033502
UT
Other
Enumeration date
04/09/2010
Last updated
03/22/2011
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