Individual
MS. KAREN MCCUISTION ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
670 S 150 E, SALEM, UT 84653-6501
(801) 423-2052
Mailing address
670 S 150 E, SALEM, UT 84653-6501
(801) 423-2052
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
76177543503
UT
Other
Enumeration date
06/04/2012
Last updated
06/04/2012
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